Individual
DAVID J CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
195 ROXBORO CT, FAYETTEVILLE, GA 30215-5323
(770) 461-6244
Mailing address
195 ROXBORO CT, FAYETTEVILLE, GA 30215-5323
(770) 461-6244
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D114053
IA
Other
Enumeration date
05/31/2006
Last updated
07/08/2007
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