MEDICARE: ERLINDA CARRILLO ALATORRE EARLY CHILDHOOD ED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1326398785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERLINDA CARRILLO ALATORRE EARLY CHILDHOOD ED

Provider Business Mailing Address
First Line	:	1508 ARLINGTON DR NW
Second Line	:
City	:	DALTON
State	:	GA
Zip	:	30720-7153
Country	:	US
Telephone Number	:	706-508-5671
Fax Number	:

Provider Business Practice Location Address
First Line	:	1508 ARLINGTON DR NW
Second Line	:
City	:	DALTON
State	:	GA
Zip	:	30720-7153
Country	:	US
Telephone Number	:	706-508-5671
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2012
Last Update Date	:	09/13/2012

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