Gunderson, Karen Marie

Gunderson, Karen Marie is an individual health care provider with primary practice located at 6002 Professional Pkwy Suite 220, Douglasville GA 30134-5600. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Gunderson, Karen Marie can be contacted via phone (678) 715-9690.

Contact Information

Primary practice address
6002 Professional Pkwy Suite 220 Douglasville GA 30134-5600
Phone: (678) 715-9690
Fax: (678) 581-7140
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 005634 Georgia

Profile Details

NPI number 1205090115
LBN Legal business name Gunderson, Karen Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2008
Last updated Jun 13th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205090115 NPPES
Georgia Other 1205090115 NPI NUMBER

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