Provider Demographics
NPI:1407804032
Name:KRAMER, JOAN L (MD)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:L
Last Name:KRAMER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:250 WILLIAMS ST NW
Mailing Address - Street 2:6C204
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30303-1032
Mailing Address - Country:US
Mailing Address - Phone:404-329-7794
Mailing Address - Fax:404-417-8016
Practice Address - Street 1:49 JESSE HILL JR DR SE
Practice Address - Street 2:(DEPARTMENT OF HEMATOLOGY/MEDICAL ONCOLOGY AT GRADY)
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-3049
Practice Address - Country:US
Practice Address - Phone:404-778-1306
Practice Address - Fax:404-778-1301
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2023-09-28
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Provider Licenses
StateLicense IDTaxonomies
ORMD217471207RX0202X
GA65133207RH0003X
IDM-17391207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3338637Medicaid
TN3338637Medicare PIN
F79580Medicare UPIN