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CAROLINE C ANAELE FNP
>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1104130368
Individual Registrant: CAROLINE C ANAELE FNP
Gender: F
Sole Proprietor
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
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
Tel: 678-594-3881 Fax: 678-594-3871
Registration Information:
NPI: 1104130368
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | GA | RN135346 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 456441108 | GA | 05 |
