Provider Demographics
NPI:1467609107
Name:TUGGLE, KARLEENA REGINA-MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:KARLEENA
Middle Name:REGINA-MARIE
Last Name:TUGGLE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4200 NORTHSIDE PKWY
Mailing Address - Street 2:BLD #8
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327
Mailing Address - Country:US
Mailing Address - Phone:404-881-8020
Mailing Address - Fax:678-539-3080
Practice Address - Street 1:4200 NORTHSIDE PKWY
Practice Address - Street 2:BLD #8
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327
Practice Address - Country:US
Practice Address - Phone:404-881-8020
Practice Address - Fax:678-539-3080
Is Sole Proprietor?:No
Enumeration Date:2008-08-25
Last Update Date:2012-11-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DC0000000208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery