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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 13 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 1821287046 NPPES
Other 0351090-22 NATIONAL CERFICATION

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