Individual
DR. NICOLE P CARBONELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3950 AUSTELL RD, AUSTELL, GA 30106-1121
(770) 732-4000
Mailing address
14030 CRABAPPLE LAKE DR, ROSWELL, GA 30076-4264
(678) 462-1711
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
056417
GA
207P00000X
Emergency Medicine Physician
25112
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
244750062A
—
GA
05
—
244750062B
—
GA
05
—
244750062C
—
GA
05
—
244750062D
—
GA
01
—
6611384100
DOL
GA
Enumeration date
08/17/2006
Last updated
12/30/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us