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Individual

KATHERINE ATALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
MEDICAL CENTER BLVD, WINSTON-SALEM, NC 27157
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2004-00796
NC
2084P0804X
Child & Adolescent Psychiatry Physician
2004-00796
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1431F
BCBS
01
192883
MEDCOST
01
4555059
AETNA
05
5905540
NC
Enumeration date
09/14/2006
Last updated
11/16/2007
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