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Individual

SANDRA JEAN CARMICHAEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
100 GROSS CRESCENT CIR, FORT OGLETHORPE, GA 30742-3643
(706) 858-2000
(865) 291-3228
Mailing address
100 GROSS CRESCENT CIR, FT OGLETHORPE, GA 30742-3643
(706) 858-2161
(706) 858-2688

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036116
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3144639
BLUE CROSS BLUE SHE OF TN
TN
01
P00232694
RAILROAD MEDICARE
GA
Enumeration date
07/05/2006
Last updated
01/12/2008
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