Individual
MS. KATINA DENISE WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2591 CANDLER RD, DECATUR, GA 30032-6502
(678) 209-2710
(678) 212-6304
Mailing address
3235 WILDFLOWER RD, REX, GA 30273-2453
(706) 992-5564
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
RN165777
GA
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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