Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 66127 | GA |
N | 207VG0400X | Gynecologist | 01061081A | IN |
N | 207VG0400X | Gynecologist | ME100715 | FL |
NPI | 1366451478 |
---|---|
Provider Name | Deborah R Karp |
First Address | Hiram, GA 30141-3756 |
Second Address | Hiram, GA 30141-3756 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200528590A | (05) | IN |
I41726 | (02) | IN |