Healthcare Provider Details

I. General information

NPI: 1194238907
Provider Name (Legal Business Name): KARINTHIAN ELAINE HULON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2017
Last Update Date: 04/26/2021
Certification Date: 04/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 HOSPITAL BLVD STE 410
ROSWELL GA
30076-4919
US

IV. Provider business mailing address

2500 HOSPITAL BLVD STE 410
ROSWELL GA
30076-4919
US

V. Phone/Fax

Practice location:
  • Phone: 770-792-6262
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number23401
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberRN294699
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: