Individual
MRS. CAROL JEAN MISTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
28 LAKE HERON CT W, POOLER, GA 31322-4040
(912) 450-4511
Mailing address
101 AZELEA LANE, REIDSVILLE, GA 30453
(912) 515-8300
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN153038 NP
GA
Other
Enumeration date
10/26/2009
Last updated
01/09/2025
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