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Contact Information

KAREN C PENROSE, NP
900 MOHAWK ST STE E
SAVANNAH, GA31419-1768
 Phone: 912-925-0067
 Fax: 912-927-0267
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Dermatopathology

207ND0900X 07 Physician/Dermatology
 

Pediatric Dermatology

207NP0225X 07 Physician/Dermatology
 

Procedural Dermatology

207NS0135X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for KAREN C PENROSE · (Female)

NPI # 1003907478
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 09/28/2006
Last updated 03/31/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • GA License # RN101568
  • GA Medicaid 000741606C
  • GA Medicaid 000741606D
  • GA Medicaid 000741606E
  • GA Medicaid 000741606F
  • GA Other 10053251 AMERIGROUP NUMBER
  • GA Other 3311616 WELLCARE NUMBER
  • GA Other 341107 WELLCARE NUMBER
Hospital affiliation(s)
  • EAST GEORGIA REGIONAL MEDICAL CENTER - (Acute Care)
    1499 FAIR ROAD
    STATESBORO, GA 30458
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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