MEDICARE: CAROLYN RUTH KAPLAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	37844	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	37844	OTHER	GA	GA STATE LICENSE

General Provider Information

NPI Number	:	1073584165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLYN RUTH KAPLAN M.D.

Provider Business Mailing Address
First Line	:	5445 MERIDIAN MARKS RD NE
Second Line	:	SUITE 270
City	:	ATLANTA
State	:	GA
Zip	:	30342-4763
Country	:	US
Telephone Number	:	404-843-2229
Fax Number	:	404-843-0812

Provider Business Practice Location Address
First Line	:	5445 MERIDIAN MARKS RD NE
Second Line	:	SUITE 270
City	:	ATLANTA
State	:	GA
Zip	:	30342-4763
Country	:	US
Telephone Number	:	404-843-2229
Fax Number	:	404-843-0812

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2006
Last Update Date	:	07/09/2007

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