Provider Demographics
NPI:1578298683
Name:CARNEGIE, NIA (MA)
Entity Type:Individual
Prefix:
First Name:NIA
Middle Name:
Last Name:CARNEGIE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6294 PHILLIPS CT
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-3924
Mailing Address - Country:US
Mailing Address - Phone:678-978-8411
Mailing Address - Fax:
Practice Address - Street 1:4500 N POINT PKWY
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-2409
Practice Address - Country:US
Practice Address - Phone:678-582-2661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional