Provider Demographics
NPI:1164207650
Name:MUNA FERTILITY INC
Entity Type:Organization
Organization Name:MUNA FERTILITY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KARENNE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRU
Authorized Official - Suffix:
Authorized Official - Credentials:MD/PHD
Authorized Official - Phone:864-387-9709
Mailing Address - Street 1:2625 PIEDMONT RD NE STE 56-302
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-3086
Mailing Address - Country:US
Mailing Address - Phone:864-387-9709
Mailing Address - Fax:404-800-0048
Practice Address - Street 1:2625 PIEDMONT RD NE STE 56-302
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-3086
Practice Address - Country:US
Practice Address - Phone:864-387-9709
Practice Address - Fax:404-800-0048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-31
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty