Provider Demographics
NPI:1003065046
Name:GELIN, KARINE (R PA-C)
Entity Type:Individual
Prefix:
First Name:KARINE
Middle Name:
Last Name:GELIN
Suffix:
Gender:F
Credentials:R PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 JOHNSON FERRY RD
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1606
Mailing Address - Country:US
Mailing Address - Phone:404-303-3617
Mailing Address - Fax:678-388-1759
Practice Address - Street 1:2696 LAWRENCEVILLE SUWANEE RD
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-2535
Practice Address - Country:US
Practice Address - Phone:678-376-1300
Practice Address - Fax:678-514-2936
Is Sole Proprietor?:No
Enumeration Date:2008-09-15
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012760363A00000X
NJ25MP00553400363A00000X
GA5984363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003100804FMedicaid