Individual
IRA KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
484 MORELAND AVE NE, ATLANTA, GA 30307-3426
(404) 524-4466
(404) 524-1204
Mailing address
484 MORELAND AVE NE, ATLANTA, GA 30307-3426
(404) 524-4466
(404) 524-1204
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
005725
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00212484A
—
GA
Enumeration date
08/30/2006
Last updated
07/08/2007
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