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Individual

DR. IAN KATZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2675 N DECATUR RD, SUITE 611, DECATUR, GA 30033-6131
(404) 501-9377
(404) 501-0379
Mailing address
2675 N DECATUR RD, SUITE 611, DECATUR, GA 30033-6131
(404) 501-9377
(404) 501-0379

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
018507
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000228599C
GA
Enumeration date
07/13/2006
Last updated
04/20/2008
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