Individual
CAROLINA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
700 FRASIER CIR SE, MARIETTA, GA 30060-2316
(678) 670-5700
Mailing address
700 FRASIER CIR SE, MARIETTA, GA 30060-2316
(678) 670-5700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
269658
GA
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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