Organization
CONSISTENT CARE FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JASMINE DENISE CARSON N.P. (OWNER)
(706) 638-4979
Entity
Organization
Contact information
Practice address
204 S CHATTANOOGA ST, LA FAYETTE, GA 30728-2806
(706) 638-4979
(706) 638-7925
Mailing address
204 S CHATTANOOGA ST, LA FAYETTE, GA 30728-2806
(706) 638-4979
(706) 638-7925
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
329537-22
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00842388B
—
GA
Enumeration date
02/14/2007
Last updated
08/22/2020
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