Provider Demographics
NPI:1760606966
Name:LEDFORD, KAREN LEANNE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:LEANNE
Last Name:LEDFORD
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:978 ALTAVISTA CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR HILL
Mailing Address - State:GA
Mailing Address - Zip Code:30518-7625
Mailing Address - Country:US
Mailing Address - Phone:678-546-0174
Mailing Address - Fax:
Practice Address - Street 1:114 COVE RD
Practice Address - Street 2:
Practice Address - City:CHICKAMAUGA
Practice Address - State:GA
Practice Address - Zip Code:30707-1407
Practice Address - Country:US
Practice Address - Phone:706-375-2611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH019667183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist