O'Donnell, Caroline Didonato

O'Donnell, Caroline Didonato is an individual health care provider with primary practice located at 3215 Campus Loop Rd Nw , Kennesaw GA 30144-3227. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. O'Donnell, Caroline Didonato can be contacted via phone (470) 578-6644.

Contact Information

Primary practice address
3215 Campus Loop Rd Nw Kennesaw GA 30144-3227
Phone: (470) 578-6644
Fax: (470) 578-9004
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN071559 Georgia

Profile Details

NPI number 1497865901
LBN Legal business name O'Donnell, Caroline Didonato
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Oct 6th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497865901 NPPES
Georgia MEDICAID 000853102C
Georgia MEDICAID NP0727

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