MEDICARE: DEBRA G CARLTON MD

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	207R00000X	Internal Medicine Physician	033546	GA

General Provider Information

NPI Number	:	1679528020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBRA G CARLTON MD

Provider Business Mailing Address
First Line	:	3495 PIEDMONT RD NE
Second Line	:	THE SOUTHEAST PERMANENTE MEDIAL GROUP NINE PIEDMONT CEN
City	:	ATLANTA
State	:	GA
Zip	:	30305-1717
Country	:	US
Telephone Number	:	404-364-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	3495 PIEDMONT RD NE # I
Second Line	:	MEDICAL OFFICES ADMINISTRATION
City	:	ATLANTA
State	:	GA
Zip	:	30305-1717
Country	:	US
Telephone Number	:	404-364-7000
Fax Number	:

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

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	01/06/2022

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