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Individual

DR. KAREM VIVIAN MENEZES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
204 CANTON RD, CUMMING, GA 30040-2304
(770) 886-5437
(770) 886-9717
Mailing address
PO BOX 2155, ASHLAND, KY 41105-2155
(606) 474-0669

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
45369
KY
208000000X
Pediatrics Physician
Primary
81618
GA
390200000X
Student in an Organized Health Care Education/Training Program
TRN 13410
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100211610
KY
01
81618
STATE LICENSE
GA
Enumeration date
03/19/2012
Last updated
08/26/2019
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