# CATHERINE PARK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1174968838
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PP0204X | Pediatric Emergency Medicine (Emergency Medicine) Physician | 53684 | TN | — |
| 208000000X | Pediatrics Physician | 78174 | GA | Yes |
| 2080P0210X | Pediatric Nephrology Physician | MD048441 | DC | Yes |

## Other

- **Enumeration date:** 05/07/2013
- **Last updated:** 07/07/2026