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NPI Code Detail

MEDICARE: MS. JULIE A. CARNES L.P.C.

MEDICARE: MS. JULIE A. CARNES L.P.C.
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
1101YP2500XProfessional Counselor003797GA

General Provider Information

NPI Number : 1477760817
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JULIE A. CARNES L.P.C.
Provider Business Mailing Address
First Line : 2801 PAYTON RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30345-2653
Country : US
Telephone Number : 404-329-9733
Fax Number :
Provider Business Practice Location Address
First Line : 2320 PERIMETER PARK DR
Second Line :
City : ATLANTA
State : GA
Zip : 30341-1317
Country : US
Telephone Number : 404-329-5020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2007
Last Update Date : 07/08/2007

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