Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | RN215756 | GA |
NPI | 1053748574 |
---|---|
Provider Name | Catherine Marshall Strigle |
First Address | Roswell, GA 30076-3019 |
Second Address | Suwanee, GA 30024-1258 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2013 |
Last Update Date | 11/07/2014 |