New, Katina M
New, Katina M is an individual health care provider with primary practice located at 3073 Panthersville Road Medical Clinic, Decatur GA 30034-3828. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. New, Katina M can be contacted via phone (404) 212-4658.Contact Information
Primary practice address
3073 Panthersville Road Medical Clinic
Decatur GA 30034-3828
Phone: (404) 212-4658
Fax: (404) 244-5138
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 132208 | Georgia |
Profile Details
NPI number | 1821287046 |
---|---|
LBN Legal business name | New, Katina M |
Credentials | FNP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 24th, 2007 |
Last updated | Apr 19th, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1821287046 | NPPES |
Other | 0351090-22 | NATIONAL CERFICATION |
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