Individual
MRS. CARLY PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1206 GARDEN ROW NE, DALTON, GA 30721-8490
(912) 660-9479
Mailing address
1206 GARDEN ROW NE, DALTON, GA 30721-8490
(912) 660-9479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN272101
GA
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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