Basic Information
| Provider Information | |||||||||
| NPI: | 1558567271 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HESS | ||||||||
| FirstName: | CAROL | ||||||||
| MiddleName: | BRADLEY | ||||||||
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| Credential: | RN, CNP | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | HESS | ||||||||
| OtherFirstName: | CAROL | ||||||||
| OtherMiddleName: | HARBIN BRADLEY | ||||||||
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| OtherLastNameType: | 5 | ||||||||
| Mailing Information | |||||||||
| Address1: | 6285 BARFIELD RD NE | ||||||||
| Address2: | SUITE 250 | ||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303284303 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4043031224 | ||||||||
| FaxNumber: | 4043031325 | ||||||||
| Practice Location | |||||||||
| Address1: | 1121 JOHNSON FERRY RD | ||||||||
| Address2: | SUITE 150 | ||||||||
| City: | MARIETTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300685425 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7709771510 | ||||||||
| FaxNumber: | 7705098858 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/21/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LX0001X | RN47225 NP | GA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Obstetrics & Gynecology |
No ID Information.