Provider Demographics
NPI:1871632638
Name:STONE, KAREN LE ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:LE ANN
Last Name:STONE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4934 SHAG BARK TRAIL
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30507
Mailing Address - Country:US
Mailing Address - Phone:770-534-2225
Mailing Address - Fax:770-534-0299
Practice Address - Street 1:4327 MUNDY MILL RD
Practice Address - Street 2:SUITE A
Practice Address - City:OAKWOOD
Practice Address - State:GA
Practice Address - Zip Code:30566
Practice Address - Country:US
Practice Address - Phone:770-534-2225
Practice Address - Fax:770-534-0299
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR006774111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA352CJLG7463Medicare ID - Type Unspecified