Physician Compare National (NPI:1841395068)

HEALTHCARE PROVIDER: CHANDRA BIVENS CARTY R.D.,L.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1841395068
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5991869620
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090126000212
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CARTY
	Individual professional last name
Provider First Name	CHANDRA
	Individual professional first name
Provider Middle Name	B
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	EMORY UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1988
	Individual professional's medical school graduation year
Primary Specialty	REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1516 ROCK QUARRY RD
	Group Practice or individual's line 1 address
City	STOCKBRIDGE
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	302815047
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7703890836
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M