Individual
DR. KAREN ANN CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 778-5334
(404) 778-4181
Mailing address
PO BOX 73288, NEWNAN, GA 30271-3288
(678) 857-9924
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
K2667
TX
208M00000X
Hospitalist Physician
Primary
060570
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1395212-18
—
TX
05
—
163717001
—
AR
01
—
84556
BCBS-AR
AR
01
—
8X9802
BCBS TEXAS
TX
01
—
P00466539
RR MEDICARE
TX
Enumeration date
06/12/2006
Last updated
09/13/2015
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