Individual
CAROLE MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2782 N COBB PKWY, KENNESAW, GA 30152-3472
(770) 420-1092
Mailing address
2782 N COBB PKWY, KENNESAW, GA 30152-3472
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN209984
GA
363L00000X
Nurse Practitioner
26NJ15200900
NJ
363L00000X
Nurse Practitioner
MCCA-9WLCF
NC
363LF0000X
Family Nurse Practitioner
0024190447
VA
363LF0000X
Family Nurse Practitioner
12543
CT
363LF0000X
Family Nurse Practitioner
APRN.CNP.0037282
OH
363LF0000X
Family Nurse Practitioner
APRN11034852
FL
363LF0000X
Family Nurse Practitioner
Primary
RN209984
GA
Other
Enumeration date
01/09/2019
Last updated
11/21/2024
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