Carlton, Mary S
Carlton, Mary S is an individual health care provider with primary practice located at 1365 Clifton Rd Ne , Atlanta GA 30322-1013. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Carlton, Mary S can be contacted via phone (608) 829-5247.Contact Information
Primary practice address
1365 Clifton Rd Ne
Atlanta GA 30322-1013
Phone: (608) 829-5247
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2834 | Wisconsin |
Profile Details
| NPI number | 1174599658 |
|---|---|
| LBN Legal business name | Carlton, Mary S |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Jan 5th, 2008 - about 17 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 | 1174599658 | NPPES |
| Wisconsin | MEDICAID | 38611100 |
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