Provider Demographics
NPI:1972125557
Name:FORBES, KAREN CHARISSE (PA-C)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:CHARISSE
Last Name:FORBES
Suffix:
Gender:
Credentials:PA-C
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Other - First Name:
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Mailing Address - Street 1:1670 CLAIRMONT RD
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-4004
Mailing Address - Country:US
Mailing Address - Phone:678-423-4970
Mailing Address - Fax:678-423-4977
Practice Address - Street 1:1670 CLAIRMONT RD
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-4004
Practice Address - Country:US
Practice Address - Phone:678-423-4970
Practice Address - Fax:678-423-4977
Is Sole Proprietor?:No
Enumeration Date:2020-05-17
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA3037363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant