MEDICARE: MICHELLE WALKER CARNES I APRN, CNS

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	163W00000X	Registered Nurse	RN043286	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760466304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE WALKER CARNES I APRN, CNS

Provider Business Mailing Address
First Line	:	3421 MIKE PADGETT HWY
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30906-3815
Country	:	US
Telephone Number	:	706-432-3859
Fax Number	:	706-432-4798

Provider Business Practice Location Address
First Line	:	3421 MIKE PADGETT HWY
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30906-3815
Country	:	US
Telephone Number	:	706-432-3859
Fax Number	:	706-432-4798

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

Provider Enumeration Date	:	12/06/2005
Last Update Date	:	04/24/2012

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