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KARENE GAILE BOONE NP-C

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1194051698

Individual Registrant:
 KARENE GAILE BOONE NP-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
5435 FIVE FORKS TRICKUM RD  STONE MOUNTAIN, GA 30087-3045 US
Tel: 678-602-4098  Fax: --

Contact information for business:
6460 CASTLE COURT WAY  LITHONIA, GA 30058-3192 US
Tel: --  Fax: --

Registration Information:
NPI: 1194051698
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
GARN153196

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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