Healthcare Provider Details

I. General information

NPI: 1710370465
Provider Name (Legal Business Name): AIMEE B PFLUGRAD AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2015
Last Update Date: 10/26/2025
Certification Date: 10/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 LEAKE ST STE A
CARTERSVILLE GA
30120-3558
US

IV. Provider business mailing address

54 MISSION HILLS DR SW
CARTERSVILLE GA
30120-7443
US

V. Phone/Fax

Practice location:
  • Phone: 770-829-0600
  • Fax:
Mailing address:
  • Phone: 770-548-1539
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberRN186333
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License NumberRN186333
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: