Healthcare Provider Details
I. General information
NPI: 1881696110
Provider Name (Legal Business Name): JAMES S KARAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/31/2005
Last Update Date: 11/18/2020
Certification Date: 11/18/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
116 MIMOSA DR
THOMASVILLE GA
31792-6605
US
IV. Provider business mailing address
116 MIMOSA DR
THOMASVILLE GA
31792-6605
US
V. Phone/Fax
- Phone: 229-551-0083
- Fax: 229-227-9642
- Phone: 229-551-0083
- Fax: 229-227-9642
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | 037248 |
| License Number State | GA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: