Individual
MRS. HALLIE DAWN CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
870 AUSTIN DR STE A, DEMOREST, GA 30535-4585
(706) 754-3997
(706) 754-7346
Mailing address
PO BOX 638, DEMOREST, GA 30535-0638
(706) 754-3997
(706) 754-7346
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN245162
GA
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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