Provider Demographics
NPI:1952378408
Name:ESCHEDOR, KAREN SP (MD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:SP
Last Name:ESCHEDOR
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4831 GUMLOG RD
Mailing Address - Street 2:
Mailing Address - City:MARTIN
Mailing Address - State:GA
Mailing Address - Zip Code:30557-2933
Mailing Address - Country:US
Mailing Address - Phone:706-356-1111
Mailing Address - Fax:706-356-1112
Practice Address - Street 1:4948 GUMLOG RD
Practice Address - Street 2:
Practice Address - City:MARTIN
Practice Address - State:GA
Practice Address - Zip Code:30557-2921
Practice Address - Country:US
Practice Address - Phone:706-356-1111
Practice Address - Fax:706-356-1112
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-03
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA034824207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAE86160Medicare UPIN