Provider Demographics
NPI:1447757711
Name:KAPLAN, CAREN LESLIE (PA-C)
Entity Type:Individual
Prefix:
First Name:CAREN
Middle Name:LESLIE
Last Name:KAPLAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5080 PEACHTREE BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CHAMBLEE
Mailing Address - State:GA
Mailing Address - Zip Code:30341-2877
Mailing Address - Country:US
Mailing Address - Phone:404-785-5437
Mailing Address - Fax:404-785-8053
Practice Address - Street 1:5080 PEACHTREE BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:CHAMBLEE
Practice Address - State:GA
Practice Address - Zip Code:30341-2877
Practice Address - Country:US
Practice Address - Phone:404-785-5437
Practice Address - Fax:404-785-8053
Is Sole Proprietor?:No
Enumeration Date:2018-04-12
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA8756363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant