Individual
DR. CARSON HEATHERLY MARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
1050 EAGLES LANDING PKWY STE 200, STOCKBRIDGE, GA 30281-9200
(404) 778-8605
Mailing address
1050 EAGLES LANDING PKWY STE 200, STOCKBRIDGE, GA 30281-9200
(404) 778-8605
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN319716
GA
Other
Enumeration date
06/29/2023
Last updated
07/13/2023
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