Doctor Name: | KAREN D DOLL |
NPI Number: | 1003136300 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP, CVNP |
License Number: | 305390 |
Business Practice Address: | Medical University Of South Carolina 114 Doughty Street Suite 654 Charleston, SC - 294240001 |
Business Phone Number: | 8438764854 |
Business Fax Number: | 8438764413 |
Mailing Address: | Medical University Of South Carolina, 114 Doughty Street Suite 654 CHARLESTON |
State: | SC |
Postal Code: | 294240001 |
Phone Number: | 8438764854 |
Fax Number: | 8438764413 |
NPI Enumeration Date: | 06/09/2010 |
NPI Last Update Date: | 11/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 305390 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |