Individual
KAREN C PENROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
900 MOHAWK ST STE E, SAVANNAH, GA 31419-1768
(912) 925-0067
(912) 927-0267
Mailing address
900 MOHAWK ST STE E, SAVANNAH, GA 31419-1768
(912) 925-0067
(912) 927-0267
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
RN101568
GA
207NP0225X
Pediatric Dermatology Physician
RN101568
GA
207NS0135X
Procedural Dermatology Physician
RN101568
GA
363LF0000X
Family Nurse Practitioner
Primary
RN101568
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000741606C
—
GA
05
—
000741606D
—
GA
05
—
000741606E
—
GA
05
—
000741606F
—
GA
01
—
10053251
AMERIGROUP NUMBER
GA
01
—
3311616
WELLCARE NUMBER
GA
01
—
341107
WELLCARE NUMBER
GA
Enumeration date
09/28/2006
Last updated
03/31/2021
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