Individual
MRS. CAROLINE DIDONATO O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3215 CAMPUS LOOP RD NW, KENNESAW, GA 30144-3227
(470) 578-6644
(470) 578-9004
Mailing address
3215 CAMPUS LOOP RD NW, KENNESAW, GA 30144-3227
(470) 578-6644
(470) 578-9004
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN071559
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000853102C
—
GA
05
—
NP0727
—
SC
Enumeration date
08/30/2006
Last updated
10/06/2015
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