Clevenger, Carolyn Kay

Clevenger, Carolyn Kay is an individual health care provider with primary practice located at 12 Executive Park Dr Ne Suite 504, Atlanta GA 30329-2206. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Clevenger, Carolyn Kay can be contacted via phone (404) 778-3444.

Contact Information

Primary practice address
12 Executive Park Dr Ne Suite 504 Atlanta GA 30329-2206
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X RN153941 Georgia

Profile Details

NPI number 1255547907
LBN Legal business name Clevenger, Carolyn Kay
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated Jun 16th, 2015 - about 9 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.

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