Basic Information
Provider Information
NPI: 1023302668
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CARRITHERS
FirstName: NATALIE
MiddleName: FINK
NamePrefix:  
NameSuffix:  
Credential: N.P.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5555 PEACHTREE DUNWOODY RD NE
Address2: SUITE 201
City: ATLANTA
State: GA
PostalCode: 303421703
CountryCode: US
TelephoneNumber: 4048433323
FaxNumber: 4045745944
Practice Location
Address1: 5555 PEACHTREE DUNWOODY RD NE
Address2: SUITE 201
City: ATLANTA
State: GA
PostalCode: 303421703
CountryCode: US
TelephoneNumber: 4048433323
FaxNumber: 4045745944
Other Information
ProviderEnumerationDate: 05/31/2011
LastUpdateDate: 12/14/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2200XRN196773GAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

No ID Information.


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