Wellformed AI

NPI 1912199928 · live from the CMS NPI Registry

Melissa Ann Carroll, RNFA

Registered Nurse, Registered Nurse First Assistant in Moreland, GA. National Provider Identifier 1912199928, active.

NPI record

NPI1912199928 Type 1 · individual
StatusActive
Primary specialtyRegistered Nurse, Registered Nurse First Assistant 163WR0006X
Practice location190 Bear Creek Rd, Moreland, GA 30259
Practice phone770-317-0814
EnumeratedAugust 14, 2007
Last updatedApril 8, 2015
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Registered Nurse, Registered Nurse First Assistant primary163WR0006XRN113659 (GA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.