Provider Demographics
NPI:1407057656
Name:CARTER, CHRISTINE HORGAN (CRNA)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:HORGAN
Last Name:CARTER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 NEWPORT HTS
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-7829
Mailing Address - Country:US
Mailing Address - Phone:404-686-2316
Mailing Address - Fax:404-686-4949
Practice Address - Street 1:550 PEACHTREE STREET
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308
Practice Address - Country:US
Practice Address - Phone:404-686-2316
Practice Address - Fax:404-686-4949
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN141620367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered