Doctor Name: | MRS. CAROL ANN HELLMER |
NPI Number: | 1013175231 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | A.C.N.P |
License Number: | RN135983 |
Business Practice Address: | 290 Country Club Dr Suite 200 Stockbridge, GA - 302819069 |
Business Phone Number: | 7705061106 |
Business Fax Number: | |
Mailing Address: | 308 Victoria Ln, STOCKBRIDGE |
State: | GA |
Postal Code: | 302815898 |
Phone Number: | 7707138255 |
Fax Number: | |
NPI Enumeration Date: | 05/23/2008 |
NPI Last Update Date: | 10/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | RN135983 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |