Provider Demographics
NPI:1437117280
Name:SECOR, KAREN SCHARETT (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:SCHARETT
Last Name:SECOR
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 OAK HILL CT BLDG C
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30265-2392
Mailing Address - Country:US
Mailing Address - Phone:770-683-7873
Mailing Address - Fax:
Practice Address - Street 1:39 OAK HILL CT BLDG C
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30265-2392
Practice Address - Country:US
Practice Address - Phone:770-683-7873
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA003384363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical