Provider Demographics
NPI:1467679019
Name:FRIEDLANDER, CAROLINE KATHRYN (ND, LAC)
Entity type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:KATHRYN
Last Name:FRIEDLANDER
Suffix:
Gender:F
Credentials:ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2227 ASBURY SQ
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30346-2409
Mailing Address - Country:US
Mailing Address - Phone:770-558-2094
Mailing Address - Fax:
Practice Address - Street 1:2227 ASBURY SQ
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30346-2409
Practice Address - Country:US
Practice Address - Phone:770-558-2094
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA238171100000X
WANT00001632175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No175F00000XOther Service ProvidersNaturopath