Hart, Karlene Marie

Hart, Karlene Marie is an sole proprietor health care provider with primary practice located at 5440 Hillandale Drive Kaiser Permanente Panola Medical Center, Lithonia GU 30058. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hart, Karlene Marie can be contacted via phone (770) 322-3216.

Contact Information

Primary practice address
5440 Hillandale Drive Kaiser Permanente Panola Medical Center Lithonia GU 30058
Phone: (770) 322-3216
Fax: (770) 554-0058
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 060561 Georgia

Profile Details

NPI number 1891844635
LBN Legal business name Hart, Karlene Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2007
Last updated Apr 13th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891844635 NPPES
Georgia MEDICAID 792864163A

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