Healthcare Provider Details

I. General information

NPI: 1548254071
Provider Name (Legal Business Name): MARGARET KAY CARTER RN,CNSN
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: MARGARET KAY SEAY RN

II. Dates (important events)

Enumeration Date: 09/12/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 JOHNSON FERRY RD NE NORTHSIDE HOSPITAL PHARMACY
ATLANTA GA
30342-1606
US

IV. Provider business mailing address

1420 OLD RIVERSIDE RD
ROSWELL GA
30076-4492
US

V. Phone/Fax

Practice location:
  • Phone: 404-851-8683
  • Fax: 404-459-1680
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WN1003X
TaxonomyNutrition Support Registered Nurse
License NumberRN056802
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: