Provider Demographics
NPI:1205995826
Name:PEARL, CARL (MD)
Entity type:Individual
Prefix:
First Name:CARL
Middle Name:
Last Name:PEARL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 STEPHENSON AVE
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-5802
Mailing Address - Country:US
Mailing Address - Phone:912-446-1985
Mailing Address - Fax:912-446-1986
Practice Address - Street 1:8 STEPHENSON AVE
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-5802
Practice Address - Country:US
Practice Address - Phone:912-446-1985
Practice Address - Fax:912-446-1986
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA053307208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery