MEDICARE: DEBORAH R KARP MD

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	207VG0400X	Gynecology Physician	ME100715	FL
2	207VG0400X	Gynecology Physician	01061081A	IN
3	207VF0040X	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	66127	GA

Other Identifiers

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

General Provider Information

NPI Number	:	1366451478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH R KARP MD

Provider Business Mailing Address
First Line	:	148 BILL CARRUTH PKWY STE 260
Second Line	:
City	:	HIRAM
State	:	GA
Zip	:	30141-3756
Country	:	US
Telephone Number	:	470-956-4050
Fax Number	:

Provider Business Practice Location Address
First Line	:	148 BILL CARRUTH PKWY STE 260
Second Line	:
City	:	HIRAM
State	:	GA
Zip	:	30141-3756
Country	:	US
Telephone Number	:	470-956-4050
Fax Number	:

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

Provider Enumeration Date	:	08/07/2006
Last Update Date	:	07/21/2022

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