Individual
RHONDA CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
705 DIXIE ST, CARROLLTON, GA 30117
(770) 836-9684
Mailing address
705 DIXIE ST, CARROLLTON, GA 30117
(770) 836-9684
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN209374
GA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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