NPI 1063795409

Carrie Smith Nold, PAC

Practitioner Physician Assistant Suwanee, GA

Practice location

Address: 625 Old Peachtree Rd NW, Suwanee, GA 30024-2937
Phone: (770) 682-2362

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 7799 (GA)

Other Physician Assistant providers in Georgia →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 1681 (SC)

Registry record

NPI: 1063795409
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Sep 2011
Record last updated: 31 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.