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GLORIA J CARUSI APRN, NP-C

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

Registrant NPI Number: 1497974414

Individual Registrant:
 GLORIA J CARUSI APRN, NP-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
110 LLOYD AVE  TYRONE, GA 30290-2124 US
Tel: 770-486-1200  Fax: 770-486-3697

Contact information for business:
110 LLOYD AVE  TYRONE, GA 30290-2124 US
Tel: 770-486-1200  Fax: 770-486-3697

Registration Information:
NPI: 1497974414
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
GARN044369 NP

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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