Individual
DR. KATIE BRILLHART TARANTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
80 GARDENIA DRIVE, SUITE B, COVINGTON, LA 70433
(985) 871-5900
(985) 871-5911
Mailing address
80 GARDENIA DRIVE, SUITE B, COVINGTON, LA 70433
(985) 871-5900
(985) 871-5911
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
203881
LA
207R00000X
Internal Medicine Physician
MD.203881
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2009
Last updated
09/07/2012
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