Individual
MS. JULIE C CARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 JOHNSON FERRY RD NE, ATLANTA, GA 30342-1606
(404) 851-6936
Mailing address
PO BOX 2968, KENNESAW, GA 30156-9117
(770) 779-0015
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004950
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004950
PA-C LICENSE
GA
05
—
221943427A
—
GA
05
—
221943427B
—
GA
Enumeration date
11/18/2008
Last updated
07/28/2022
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