Individual
CATHY CONWELL RAISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, BC
Contact information
Practice address
54 PEACHTREE PARK DR NE, ATLANTA, GA 30309-1304
(404) 351-6041
(404) 355-1092
Mailing address
12201 BLUEGRASS PKWY, LOUISVILLE, KY 40299-2361
(502) 568-7366
(502) 568-7114
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
057774
GA
363LA2200X
Adult Health Nurse Practitioner
RN057774
GA
Other
Enumeration date
01/22/2007
Last updated
05/18/2015
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