Carlson, Nicole Smith
Carlson, Nicole Smith is an individual health care provider with primary practice located at 980 Johnson Ferry Rd Ne Suite 620, Atlanta GA 30342-1626. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Carlson, Nicole Smith can be contacted via phone (404) 257-0553.Contact Information
Primary practice address
980 Johnson Ferry Rd Ne Suite 620
Atlanta GA 30342-1626
Phone: (404) 257-0553
Fax: (404) 256-4238
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | RN160487 | Georgia |
Profile Details
| NPI number | 1255521928 |
|---|---|
| LBN Legal business name | Carlson, Nicole Smith |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2007 |
| Last updated | Sep 16th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255521928 | NPPES |
| Virginia | Other | C09633 | GROUP PTAN |
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