Basic Information
Provider Information
NPI: 1528403359
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALLEN
FirstName: KARI-CLAUDIA
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 743904
Address2:  
City: ATLANTA
State: GA
PostalCode: 303743904
CountryCode: US
TelephoneNumber: 8032967320
FaxNumber: 8032967330
Practice Location
Address1: 3209 COLONIAL DR
Address2:  
City: COLUMBIA
State: SC
PostalCode: 292036930
CountryCode: US
TelephoneNumber: 8034346113
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/07/2013
LastUpdateDate: 03/16/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XMT203455PAN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207Q00000X38794SCY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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