Kattine, Tara

Kattine, Tara is an sole proprietor health care provider with primary practice located at 3614 J Dewey Gray Cir Ste B 2Nd Floor, Augusta GA 30909-6512. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Kattine, Tara can be contacted via phone (706) 504-4651.

Contact Information

Primary practice address
3614 J Dewey Gray Cir Ste B 2Nd Floor Augusta GA 30909-6512
Phone: (706) 504-4651
Fax: (706) 504-4639
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 043671 Georgia
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 043671 Georgia
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 19771 South Carolina

Profile Details

NPI number 1700071784
LBN Legal business name Kattine, Tara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2007
Last updated May 19th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700071784 NPPES
Georgia MEDICAID 00815526F
Georgia MEDICAID 00815526D

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