Basic Information
Provider Information
NPI: 1710092051
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DREXLER
FirstName: KAREN
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5602 CORONATION CT
Address2:  
City: DUNWOODY
State: GA
PostalCode: 303382610
CountryCode: US
TelephoneNumber: 4046631576
FaxNumber:  
Practice Location
Address1: 1670 CLAIRMONT RD
Address2: SUBSTANCE ABUSE TREATMENT PROGRAM (116A3)
City: DECATUR
State: GA
PostalCode: 300334004
CountryCode: US
TelephoneNumber: 4043216111
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/19/2006
LastUpdateDate: 05/21/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/21/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0802X031538GAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry

No ID Information.


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