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Organization

THOMAS KARISNY MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NICOLE MARIE KARISNY M.D. (OWNER)
(706) 745-1953
Entity
Organization

Contact information

Practice address
202 HOSPITAL RD, BLAIRSVILLE, GA 30512-3139
(706) 745-2150
(706) 745-2053
Mailing address
202 HOSPITAL RD, BLAIRSVILLE, GA 30512-3134
(706) 745-2150
(706) 745-2053

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
050029
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000912656A
GA
01
080173185
MEDICARE RR
GA
01
10045920
AMERIA GROUP
GA
01
336339
WELLCARE
GA
01
4037911
BCBS
GA
01
439513009
CHAMPUS
GA
01
89064KT
NC MEDICAID
GA
Enumeration date
01/09/2007
Last updated
03/26/2010
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