| Organization Name: | CONSISTENT CARE FAMILY PRACTICE |
| NPI Number: | 1386787224 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JASMINE DENISE CARSON (OWNER) |
| Mailing Address: | 204 S Chattanooga St La Fayette |
| State: | GA US |
| Postal Code: | 307282806 |
| Phone Number: | 7066384979 |
| Fax Number: | 7066387925 |
| NPI Enumeration Date: | 02/14/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 329537-22 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |