Individual
CAROLINE MAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 712-7100
Mailing address
4098 LONGVIEW DR, ATLANTA, GA 30341-1564
(404) 429-9167
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
261361
GA
Other
Enumeration date
05/14/2018
Last updated
08/11/2020
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