Provider Demographics
NPI:1366449035
Name:PERROT, CARLOTA E (NP-C)
Entity Type:Individual
Prefix:MS
First Name:CARLOTA
Middle Name:E
Last Name:PERROT
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1364 CLIFTON RD NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-1059
Mailing Address - Country:US
Mailing Address - Phone:404-712-5306
Mailing Address - Fax:404-712-1033
Practice Address - Street 1:1364 CLIFTON RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-2467
Practice Address - Country:US
Practice Address - Phone:404-712-5306
Practice Address - Fax:404-712-1033
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN107078NP363LC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARN107078NPOtherGA NURSE PRACT LICENSE #