Provider Demographics
NPI:1093213944
Name:KORF, ALI CARTER (NP)
Entity Type:Individual
Prefix:MRS
First Name:ALI
Middle Name:CARTER
Last Name:KORF
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:ALI
Other - Middle Name:CARTER
Other - Last Name:DEBARDELEBEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3161 HOWELL MILL RD NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327
Mailing Address - Country:US
Mailing Address - Phone:404-351-5812
Mailing Address - Fax:404-984-2888
Practice Address - Street 1:3161 HOWELL MILL RD NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327
Practice Address - Country:US
Practice Address - Phone:404-351-5812
Practice Address - Fax:404-984-2888
Is Sole Proprietor?:No
Enumeration Date:2018-01-25
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN223834363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily