MEDICARE: DR. GEORGE DAVID KARNES DDS

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	122300000X	Dentist	DS0000005393	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3007337	OTHER	TN	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386646958
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE DAVID KARNES DDS

Provider Business Mailing Address
First Line	:	1409 W MARKET ST
Second Line	:	STE 101
City	:	JOHNSON CITY
State	:	TN
Zip	:	37604-6005
Country	:	US
Telephone Number	:	423-975-5580
Fax Number	:	423-975-5586

Provider Business Practice Location Address
First Line	:	1409 W MARKET ST
Second Line	:	STE 101
City	:	JOHNSON CITY
State	:	TN
Zip	:	37604-6005
Country	:	US
Telephone Number	:	423-975-5580
Fax Number	:	423-975-5586

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

Provider Enumeration Date	:	08/12/2005
Last Update Date	:	07/08/2007

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