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Individual

KAREN LEE WARREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1030 DELTA BLVD, ATLANTA, GA 30354-1989
(404) 778-8182
(404) 778-8188
Mailing address
1030 DELTA BLVD, ATLANTA, GA 30354-1989

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
027943
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000568851C
GA
Enumeration date
06/14/2006
Last updated
10/31/2012
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