Individual
DR. KAREN M CANUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
90 CHURCH ST, WINDER, GA 30680-1714
(770) 867-2505
(770) 867-8668
Mailing address
90 CHURCH ST, WINDER, GA 30680-1714
(770) 867-2505
(770) 867-8668
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1610
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00796232B
—
GA
Enumeration date
01/26/2006
Last updated
12/31/2014
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