Provider Demographics
NPI:1326691064
Name:MOREIRA SARMIENTO, CAROLINA (MD)
Entity type:Individual
Prefix:
First Name:CAROLINA
Middle Name:
Last Name:MOREIRA SARMIENTO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:659 AUBURN AVE NE STE 156
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30312-1976
Mailing Address - Country:US
Mailing Address - Phone:404-888-0228
Mailing Address - Fax:404-888-0552
Practice Address - Street 1:659 AUBURN AVE NE STE 156
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30312-1976
Practice Address - Country:US
Practice Address - Phone:404-888-0228
Practice Address - Fax:404-888-0552
Is Sole Proprietor?:No
Enumeration Date:2019-07-22
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA99618207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine