Healthcare Provider Details

I. General information

NPI: 1275098477
Provider Name (Legal Business Name): ROSLYN CANARY CHAPMAN CSFA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROSLYN CARTER CSFA

II. Dates (important events)

Enumeration Date: 02/01/2019
Last Update Date: 02/19/2025
Certification Date: 02/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 JOHNSON FERRY RD
ATLANTA GA
30342-1606
US

IV. Provider business mailing address

28 WHITE OAK DR SE
CARTERSVILLE GA
30121-2960
US

V. Phone/Fax

Practice location:
  • Phone: 404-851-8000
  • Fax:
Mailing address:
  • Phone: 267-776-5728
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: