Individual
MS. CASSANDRA FAYE CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1314 CONCORD RD SE, SMYRNA, GA 30080-4361
(770) 333-8889
(770) 333-8948
Mailing address
1314 CONCORD RD SE, SMYRNA, GA 30080-4361
(770) 333-8788
(770) 333-8948
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN141142
GA
Other
Enumeration date
02/24/2010
Last updated
02/08/2011
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