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Individual

KATIE EILEEN GOLDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
345 SHARON TOWNSHIP LN APT 455, CHARLOTTE, NC 28211-5192
(860) 559-5208
Mailing address
345 SHARON TOWNSHIP LN APT 455, CHARLOTTE, NC 28211-5192
(860) 559-5208

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2016-01064
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1316213937
NC
01
1912K
BCBS
NC
05
NC2969
SC
01
NCT584A
MEDICARE PTAN
NC
Enumeration date
03/28/2012
Last updated
07/27/2021
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