Provider Demographics
NPI:1558018952
Name:CARTWRIGHT, JULIA GRACE (NP)
Entity Type:Individual
Prefix:MS
First Name:JULIA
Middle Name:GRACE
Last Name:CARTWRIGHT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4302 BRITT RD
Mailing Address - Street 2:
Mailing Address - City:TUCKER
Mailing Address - State:GA
Mailing Address - Zip Code:30084-1401
Mailing Address - Country:US
Mailing Address - Phone:404-405-9102
Mailing Address - Fax:
Practice Address - Street 1:660 CHEROKEE ST NE STE 100
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-8930
Practice Address - Country:US
Practice Address - Phone:678-797-8201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-04
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN297460363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily