Individual
DR. PETER LEE KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1109 E REELFOOT AVE, SUITE A, UNION CITY, TN 38261-5856
(731) 886-8441
Mailing address
P.O. BOX 405827, ATLANTA, GA 30384-5827
(870) 934-5821
(870) 934-5384
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25151
NC
174400000X
Specialist
Primary
44832
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000550175
ANTHEM BCBS
KY
05
—
7100022700
—
KY
Enumeration date
01/25/2006
Last updated
12/09/2010
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