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NPI Code Detail

MEDICARE: KAREN LEE WARREN

MEDICARE: KAREN LEE WARREN
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
1207R00000XInternal Medicine Physician027943GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174566061
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN LEE WARREN
Provider Business Mailing Address
First Line : 1030 DELTA BLVD
Second Line :
City : ATLANTA
State : GA
Zip : 30354-1989
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1030 DELTA BLVD
Second Line :
City : ATLANTA
State : GA
Zip : 30354-1989
Country : US
Telephone Number : 404-778-8182
Fax Number : 404-778-8188
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2006
Last Update Date : 10/31/2012

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Directions to “ KAREN LEE WARREN ” Practice Location

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