Individual
CELINA DAWN CARRUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
835 AUSTIN DR, DEMOREST, GA 30535-4513
(706) 754-8518
(706) 754-6238
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 535-7445
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-NP102719
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000933721A
—
GA
05
—
003145843A
—
GA
01
—
01995452
AMERIGROUP
GA
01
—
968444
WELLCARE
GA
Enumeration date
12/01/2005
Last updated
10/30/2025
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