CARRIE CICCOTELLO BISSELL

DECATUR, GA
NPI1740958016
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: GA  103017)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: GA  APTL6H)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-09-01
Last Update Date2025-06-12
Business Address
CARRIE CICCOTELLO BISSELL MD
2701 N DECATUR RD
DECATUR, GA 30033-5918
Phone number: 404-501-1000
Mailing Address
CARRIE CICCOTELLO BISSELL MD
1601 CUMMINS DR STE D
MODESTO, CA 95358-6411
Phone number: