Individual
GLORIA J CARUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
110 LLOYD AVE, TYRONE, GA 30290-2124
(770) 486-1200
(770) 486-3697
Mailing address
110 LLOYD AVE, TYRONE, GA 30290-2124
(770) 486-1200
(770) 486-3697
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN044369 NP
GA
Other
Enumeration date
04/25/2007
Last updated
07/06/2011
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