Individual
CARSON NAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1131 BANKHEAD HWY STE 100, CARROLLTON, GA 30116-8703
(678) 890-7648
Mailing address
1450 NEWNAN CROSSING BLVD E APT 4108, NEWNAN, GA 30265-0009
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/24/2023
Last updated
06/21/2024
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