Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 046295 | GA |
NPI | 1043423023 |
---|---|
Provider Name | Karen J Carter |
First Address | Marietta, GA 30068-3029 |
Second Address | Marietta, GA 30008 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2007 |
Last Update Date | 08/07/2007 |