Provider Demographics
NPI:1386829935
Name:PEPPER, KARA J (MD)
Entity Type:Individual
Prefix:DR
First Name:KARA
Middle Name:J
Last Name:PEPPER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:KARA
Other - Middle Name:MYLES
Other - Last Name:JEHLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:285 WEST WIEUCA ROAD NORTHEAST
Mailing Address - Street 2:PMB 4127
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342
Mailing Address - Country:US
Mailing Address - Phone:404-491-9122
Mailing Address - Fax:
Practice Address - Street 1:285 W WIEUCA RD NE
Practice Address - Street 2:PMB 4127
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-3034
Practice Address - Country:US
Practice Address - Phone:404-491-9122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-02
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA059847207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine