Individual
DIANA CARMICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1404 SOUTHLAKE PLAZA DR, MORROW, GA 30260-1756
(770) 696-3960
(678) 550-9180
Mailing address
1013 BATTERSEA PL, LOCUST GROVE, GA 30248-2077
(770) 880-0784
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017027617
GA
Other
Enumeration date
02/27/2018
Last updated
08/20/2024
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