Individual
DR. KAREN C PANZITTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1499 WALTON WAY STE 1400, PHYSICIANS PRACTICE GROUP, AUGUSTA, GA 30901-2603
(706) 724-6100
(706) 724-1600
Mailing address
1120 15TH ST, GEORGIA REGENTS MEDICAL ASSOCIATES, AUGUSTA, GA 30912-0004
(706) 721-9729
(706) 721-8507
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
38446
GA
2085R0202X
Diagnostic Radiology Physician
Primary
038446
GA
2085U0001X
Diagnostic Ultrasound Physician
38446
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0060707879D
—
GA
01
—
591320
BLUE CROSS BLUE SHIELD
GA
05
—
Q38446
—
SC
Enumeration date
06/01/2005
Last updated
09/27/2013
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