Provider Demographics
NPI:1164593935
Name:KAROLY, MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:KAROLY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 MEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31021-2548
Mailing Address - Country:US
Mailing Address - Phone:478-275-3782
Mailing Address - Fax:478-275-8937
Practice Address - Street 1:101 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:GA
Practice Address - Zip Code:31021-2548
Practice Address - Country:US
Practice Address - Phone:478-275-3782
Practice Address - Fax:478-275-8937
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA047466207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00835271AMedicaid
GA16BDTBMMedicare ID - Type UnspecifiedPROVIDER NUMBER
GAH03817Medicare UPIN