Individual
LASHONDA CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6220 CLAYTS CIR, MACON, GA 31216-5403
(678) 463-1588
(678) 463-1588
Mailing address
PO BOX 870263, MORROW, GA 30287-0263
(678) 463-1588
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN135688NP
GA
363LF0000X
Family Nurse Practitioner
Primary
RN135688
GA
Other
Enumeration date
07/16/2008
Last updated
03/17/2018
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