Ingram, Charlotte Lavonia

Ingram, Charlotte Lavonia is an individual health care provider with primary practice located at 1650 County Services Pkwy Sw , Marietta GA 30008-4010. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Ingram, Charlotte Lavonia can be contacted via phone (770) 514-2422.

Contact Information

Primary practice address
1650 County Services Pkwy Sw Marietta GA 30008-4010
Phone: (770) 514-2422
Fax: (770) 514-9852
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN049398 Georgia

Profile Details

NPI number 1740355999
LBN Legal business name Ingram, Charlotte Lavonia
Credentials APRN-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2006
Last updated Jul 8th, 2007 - 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.

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