Individual
CARLIE ANN FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2000 16TH AVE, COLUMBUS, GA 31901-1665
(706) 320-3700
Mailing address
2300 MANCHESTER EXPY STE 2001A, COLUMBUS, GA 31904-6802
(706) 320-3126
(706) 320-3054
Taxonomy
Speciality
Code
Description
License number
State
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN095043
GA
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
RN095043
GA
Other
Enumeration date
07/09/2009
Last updated
08/01/2024
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