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CAROLINE C ANAELE FNP

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

Registrant NPI Number: 1104130368

Individual Registrant:
 CAROLINE C ANAELE FNP
Gender: F
Sole Proprietor

Location and contact information for practice:
2121 FAIRBURN ROAD SUITE B DOUGLASVILLE, GA 30135-1029 US
Tel: 678-594-3881  Fax: 678-594-3871

Contact information for business:
2121 FAIRBURN ROAD SUITE B DOUGLASVILLE, GA 30135-1029 US
Tel: 678-594-3881  Fax: 678-594-3871

Registration Information:
NPI: 1104130368
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
GARN135346

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
456441108GA05




HEALTH CARE JOBS GA - Page 1



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