Provider Demographics
NPI:1871278978
Name:AUMSBAUGH, CARRIE MAGAN (NP-C)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:MAGAN
Last Name:AUMSBAUGH
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 STORY LN
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:GA
Mailing Address - Zip Code:31763-5333
Mailing Address - Country:US
Mailing Address - Phone:229-854-6644
Mailing Address - Fax:
Practice Address - Street 1:2300 DAWSON RD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31707-2803
Practice Address - Country:US
Practice Address - Phone:229-436-8535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-16
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN230394363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily