Individual
CARMEL PHILISTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
2261 TALMADGE RD UNIT 266, LOVEJOY, GA 30250-9911
(770) 906-8284
Mailing address
2261 TALMADGE RD UNIT 266, LOVEJOY, GA 30250-9911
(770) 906-8284
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN227780
GA
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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