Provider Demographics
NPI:1194780031
Name:DEWLING, KAREN B (MD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:B
Last Name:DEWLING
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4035 JOHNS CREEK PKWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-1253
Mailing Address - Country:US
Mailing Address - Phone:770-814-1160
Mailing Address - Fax:770-814-1173
Practice Address - Street 1:4035 JOHNS CREEK PKWY
Practice Address - Street 2:SUITE A
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-1253
Practice Address - Country:US
Practice Address - Phone:770-814-1160
Practice Address - Fax:770-814-1173
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-20
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA044445208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00755136BMedicaid
GAF68599Medicare UPIN