Individual
CARLA A FANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RT(R)
Contact information
Practice address
1701 HARDEE AVE SW, ATLANTA, GA 30310-5110
(404) 230-5682
Mailing address
304 OAK DR SE, HAPEVILLE, GA 30354-2635
(404) 276-1129
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
272350
GA
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
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