Provider Demographics
NPI:1275686990
Name:PHILLIPS, KAREN CURTIS (NP)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:CURTIS
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:1365 CLIFTON RD NE
Mailing Address - Street 2:ENDOCRINOLOGY SUITE 4200 - ENDOCRINOLOGY
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-1013
Mailing Address - Country:US
Mailing Address - Phone:404-778-3052
Mailing Address - Fax:
Practice Address - Street 1:1365 CLIFTON RD NE
Practice Address - Street 2:ENDOCRINOLOGY SUITE 4200 - ENDOCRINOLOGY
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-1013
Practice Address - Country:US
Practice Address - Phone:404-778-3052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2009-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA116540207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA116540Medicare UPIN