Individual
CAROL KLINGENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-3297
Mailing address
PO BOX 19599, ATLANTA, GA 30325-0599
(404) 605-3297
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
018684
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000179902E
—
GA
Enumeration date
10/11/2006
Last updated
07/08/2007
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