Provider Demographics
NPI:1477525731
Name:ARTRESS, KAREN (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:ARTRESS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2850 PACES FERRY RD SE STE 460-470
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-5719
Mailing Address - Country:US
Mailing Address - Phone:678-556-4950
Mailing Address - Fax:678-556-4951
Practice Address - Street 1:2850 PACES FERRY RD SE STE 460-470
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-5719
Practice Address - Country:US
Practice Address - Phone:678-556-4950
Practice Address - Fax:678-556-4951
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA038627207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00619913AMedicaid
GA08BDHHTMedicare ID - Type Unspecified
GA00619913AMedicaid