Provider Demographics
NPI:1972989762
Name:WITTY, KAREN MAXINE (PHD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:MAXINE
Last Name:WITTY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6450 EVANS DR
Mailing Address - Street 2:SUITE 878
Mailing Address - City:REX
Mailing Address - State:GA
Mailing Address - Zip Code:30273-2736
Mailing Address - Country:US
Mailing Address - Phone:470-363-0288
Mailing Address - Fax:470-200-0050
Practice Address - Street 1:233 MITCHELL ST SW
Practice Address - Street 2:SUITE 350
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-3304
Practice Address - Country:US
Practice Address - Phone:470-575-7141
Practice Address - Fax:470-200-0050
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-04
Last Update Date:2016-03-22
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175L00000XOther Service ProvidersHomeopath