Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 36153 | KY |
N | 208600000X | Surgeon | 36153 | KY |
N | 208200000X | Surgeon | 88725 | OH |
N | 208600000X | Surgeon | 88725 | OH |
Y | 2086X0206X | Surgical Oncologist | 070736 | GA |
NPI | 1134153414 |
---|---|
Provider Name | Karen R. Draper |
First Address | Augusta, GA 30901-2602 |
Second Address | Augusta, GA 30912-0004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 15/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
64712854 | (05) | KY |
G90727 | (02) |