Individual
MRS. HEATHER A CARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1295 HEMBREE RD STE 101, ROSWELL, GA 30076-5721
(404) 920-4950
(404) 920-4959
Mailing address
3390 PEACHTREE RD NE, STE 1500, ATLANTA, GA 30326
(404) 920-4950
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN144436
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9272408
LICENSE
FL
01
—
RN144436
LISENCE #
GA
Enumeration date
08/03/2006
Last updated
07/21/2022
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