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Individual

KATHERINE MACKENZIE THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1 SISKIN PLZ STE 101, CHATTANOOGA, TN 37403-1306
(423) 803-2226
(423) 803-2222
Mailing address
1 SISKIN PLZ STE 101, CHATTANOOGA, TN 37403-1306
(423) 803-2226
(423) 803-2222

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
9110767
FL
363AM0700X
Medical Physician Assistant
Primary
5010
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
023154400
FL
Enumeration date
09/27/2017
Last updated
12/28/2022
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