Provider Demographics
NPI:1558567271
Name:HESS, CAROL BRADLEY (RN, CNP)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:BRADLEY
Last Name:HESS
Suffix:
Gender:F
Credentials:RN, CNP
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:HARBIN BRADLEY
Other - Last Name:HESS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6285 BARFIELD RD NE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-4303
Mailing Address - Country:US
Mailing Address - Phone:404-303-1224
Mailing Address - Fax:404-303-1325
Practice Address - Street 1:1121 JOHNSON FERRY RD
Practice Address - Street 2:SUITE 150
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30068-5425
Practice Address - Country:US
Practice Address - Phone:770-977-1510
Practice Address - Fax:770-509-8858
Is Sole Proprietor?:No
Enumeration Date:2007-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN47225 NP363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology