Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 031775 | GA |
N | 207YP0228X | Pediatric Otolaryngology | 031775 | GA |
NPI | 1457349367 |
---|---|
Provider Name | Scott Marc Karlin |
First Address | Suwanee, GA 30024-6048 |
Second Address | Suwanee, GA 30024-6048 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2005 |
Last Update Date | 18/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000401343H | (05) | GA |
000401343K | (05) | GA |
E33472 | (02) |