Karen Gudger is a Clinical in Woodstock, Georgia. Karen Gudger practices all healthcare services and medical treatments related to Clinical. The NPI Number for Karen Gudger is 1770648768. The last update date is 2007-07-18.
Karen Gudger's current location address is 317 Creekstone Rdg, Woodstock, Georgia. You can contact this provider via phone number 7705167138 and fax number 7705163018. The mailing address for Karen Gudger is 317 Creekstone Rdg, Woodstock, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Karen Gudger |
|---|---|
| Address | 317 Creekstone Rdg, Woodstock, Georgia |
| Phone Number | 7705167138 |
| Fax Number | 7705163018 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1770648768 |
|---|---|
| Provider Enumeration Date | 2006-12-27 |
| Last Updated Date | 2007-07-18 |
Provider Mailing Address Detail
| Address | 317 Creekstone Rdg |
|---|---|
| City | Woodstock |
| State | Georgia (GA) |
| Post Code | 301883745 |
| Phone Number | 7705167138 |
| Fax Number | 7705163018 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1455 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 58202790430188A | GA | TRICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Karen Gudger by the Centers for Medicare & Medicaid Services?
The Karen Gudger has been assigned the NPI (National Provider Identifier) 1770648768 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Karen Gudger?
The Karen Gudger is situated at 317 Creekstone Rdg, in the city of Woodstock, state of GA, with the zip code 301883745.
What is the Karen Gudger's specialty and taxonomy code?
The Karen Gudger's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Karen Gudger receive its 1770648768 assignment from the Centers for Medicare & Medicaid Services?
The Karen Gudger was assigned its 1770648768 by the Centers for Medicare & Medicaid Services on 2006-12-27.
As of what date were the details pertaining to Karen Gudger last refreshed?
The information related to the Karen Gudger, including its address, specialty, and other relevant details, was last updated on 2007-07-18.