Individual
KEVIN L CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3886 PRINCETON LAKES WAY SW STE 100, ATLANTA, GA 30331-5511
(770) 506-4007
(678) 246-5191
Mailing address
3886 PRINCETON LAKES WAY SW STE 100, ATLANTA, GA 30331-5511
(770) 506-4007
(678) 246-5191
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
043894
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000757314
—
GA
Enumeration date
12/28/2005
Last updated
05/31/2023
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