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CARLY MCGRAW CARRUTH FNP-C

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1891221537

Individual Registrant:
 CARLY MCGRAW CARRUTH FNP-C
Gender: F
Sole Proprietor

Location and contact information for practice:
165 EAGLE SHADOW DR  FLINTSTONE, GA 30725-2499 US
Tel: 706-506-8213  Fax: --

Contact information for business:
165 EAGLE SHADOW DR  FLINTSTONE, GA 30725-2499 US
Tel: 706-506-8213  Fax: --

Registration Information:
NPI: 1891221537
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
GARN224058

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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