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Individual

ALIX ANDREA CARNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
3905 BROOKSIDE PKWY STE 201, ALPHARETTA, GA 30022-4429
(770) 521-2295
(770) 255-0330
Mailing address
5780 PEACHTREE DUNWOODY RD STE 300, ATLANTA, GA 30342-1513
(404) 303-8035
(404) 303-1325

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN307009
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300034164A
GA
01
GRP3569
MEDICARE
GA
Enumeration date
12/09/2021
Last updated
12/09/2021
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