Individual
CATHERINE LYNN TRIPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 793-6190
Mailing address
310 KENNESTONE HOSPITAL BLVD, MARIETTA, GA 30060-1120
(770) 793-7899
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
00008498
GA
207R00000X
Internal Medicine Physician
83367
GA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
83367
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2016
Last updated
10/01/2020
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