Individual
KRISTINA CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1255 FRIENDSHIP RD STE 100, BRASELTON, GA 30517-5612
(470) 228-7900
Mailing address
405 PHILIP BLVD APT 707, LAWRENCEVILLE, GA 30046-8743
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
99584
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2021
Last updated
05/13/2024
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