Provider Demographics
NPI:1487633913
Name:MCFARLAND, CARLA SUE (ARNP)
Entity Type:Individual
Prefix:MS
First Name:CARLA
Middle Name:SUE
Last Name:MCFARLAND
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MS
Other - First Name:CARLA
Other - Middle Name:SUE
Other - Last Name:CURL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:13570 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:GA
Mailing Address - Zip Code:30752-2012
Mailing Address - Country:US
Mailing Address - Phone:706-956-2665
Mailing Address - Fax:706-657-2958
Practice Address - Street 1:118 E GIRARD AVE
Practice Address - Street 2:
Practice Address - City:CEDARTOWN
Practice Address - State:GA
Practice Address - Zip Code:30125-2778
Practice Address - Country:US
Practice Address - Phone:678-246-5174
Practice Address - Fax:678-901-3336
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN093196363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003147280AMedicaid
GA003147280AMedicaid