Individual
CAROLINE MAINOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
35 COLLIER RD NW STE 775, ATLANTA, GA 30309-1608
(404) 351-5959
Mailing address
3180 SUGARLOAF CLUB DR, DULUTH, GA 30097-3710
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN306655
GA
363LA2100X
Acute Care Nurse Practitioner
RN306655
GA
Other
Enumeration date
07/02/2024
Last updated
10/15/2024
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