Doctor Name: | DR. CARMEN MANUELA KLASS |
NPI Number: | 1598871410 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 053774 |
Business Practice Address: | 340 Kennestone Hospital Blvd Suite 200 Marietta, GA - 300601152 |
Business Phone Number: | 7702815100 |
Business Fax Number: | 6785817100 |
Mailing Address: | 1700 Hospital South Dr, Suite 300 AUSTELL |
State: | GA |
Postal Code: | 301066810 |
Phone Number: | 7709442830 |
Fax Number: | 6785817170 |
NPI Enumeration Date: | 08/22/2006 |
NPI Last Update Date: | 01/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 053774 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |