Individual
KATHERINE JOHNSON FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 GENTILLY BLVD, CARTERSVILLE, GA 30120-8504
(470) 490-6860
(678) 721-9457
Mailing address
221 TECHNOLOGY PKWY NW, ROME, GA 30165-1369
(762) 235-1000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
049891
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000903097A
—
GA
Enumeration date
12/09/2006
Last updated
04/23/2020
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