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Contact Information

KAREN M PENNELLI, PA
470 NORTHSIDE CHEROKEE BLVD STE 170
CANTON, GA30115-8029
 Phone: 770-721-9540
 Fax: 770-721-9541
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KAREN M PENNELLI · (Female)

NPI # 1811088685
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 09/27/2006
Last updated 04/14/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 008027
  • MA License # 784
  • MA License # PA784
Hospital affiliation(s)
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
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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