Individual
KATINA M NEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3073 PANTHERSVILLE ROAD, MEDICAL CLINIC, DECATUR, GA 30034-3828
(404) 212-4658
(404) 244-5138
Mailing address
3073 PANTHERSVILLE ROAD, MEDICAL CLINIC, DECATUR, GA 30034-3828
(404) 212-4658
(404) 244-5138
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
132208
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0351090-22
NATIONAL CERFICATION
—
Enumeration date
10/24/2007
Last updated
04/17/2026
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