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Individual

DR. TARA KATTINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3614 J DEWEY GRAY CIR STE B, 2ND FLOOR, AUGUSTA, GA 30909-6512
(706) 504-4651
(706) 504-4639
Mailing address
3614 J DEWEY GRAY CIR STE B, 2ND FLOOR, AUGUSTA, GA 30909-6512
(706) 504-4651
(706) 504-4639

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
043671
GA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
043671
GA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
19771
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00815526D
GA
05
00815526F
GA
Enumeration date
09/12/2007
Last updated
05/19/2015
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