Provider Demographics
NPI:1316793698
Name:DOLPH, KAREN BENSON (RPH)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:BENSON
Last Name:DOLPH
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:LYNN
Other - Last Name:BENSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:3306 CRANMORE CHASE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-4790
Mailing Address - Country:US
Mailing Address - Phone:770-367-5246
Mailing Address - Fax:
Practice Address - Street 1:3306 CRANMORE CHASE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-4790
Practice Address - Country:US
Practice Address - Phone:770-367-5246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-26
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH017373183500000X, 1835N0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835N0905XPharmacy Service ProvidersPharmacistNuclear