Provider Demographics
NPI:1447201876
Name:FRANK, KAREN J (DO)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:J
Last Name:FRANK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 459
Mailing Address - Street 2:
Mailing Address - City:COLBERT
Mailing Address - State:GA
Mailing Address - Zip Code:30628-0459
Mailing Address - Country:US
Mailing Address - Phone:706-788-3234
Mailing Address - Fax:
Practice Address - Street 1:896 HIGHWAY 441 S
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:GA
Practice Address - Zip Code:30525-5423
Practice Address - Country:US
Practice Address - Phone:706-782-5991
Practice Address - Fax:706-782-5111
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2016-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34-00-7736-F207Q00000X
GA069193207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4043295Medicare PIN
OHH32974Medicare UPIN
OH2297723Medicaid
OH4043294Medicare PIN