Provider Demographics
NPI:1326144767
Name:WEBSTER, CAROL ANNE (CNM MSN APRN)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:ANNE
Last Name:WEBSTER
Suffix:
Gender:F
Credentials:CNM MSN APRN
Other - Prefix:MISS
Other - First Name:CAROL
Other - Middle Name:ANNE
Other - Last Name:SCHANHALS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN BSN
Mailing Address - Street 1:9 DUNWOODY PARK
Mailing Address - Street 2:SUITE 108 ARBOR OBGYN
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338
Mailing Address - Country:US
Mailing Address - Phone:770-399-5055
Mailing Address - Fax:770-399-9638
Practice Address - Street 1:9 DUNWOODY PARK
Practice Address - Street 2:SUITE 108 ARBOR OBGYN
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338
Practice Address - Country:US
Practice Address - Phone:770-399-5055
Practice Address - Fax:770-399-9638
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
367A00000X
GARN081776367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00691578GMedicaid
GA00691578GMedicaid
GA42BBBHGMedicare UPIN