Catherine Park
Pediatrician Pediatric Emergency Physician
2015 Uppergate Dr Ne
Atlanta
, Georgia 30322-2800
Catherine Park
Pediatrician Pediatric Emergency Physician
2015 Uppergate Dr Ne
Atlanta
, Georgia 30322-2800
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About
Features
Specialties
- Pediatric Emergency Physician
- Pediatrician
Languages spoken
- English
Location
First Address
- Catherine Park
- 1328 Weatherstone Way Ne
- Atlanta, GA
- Zip : 30324-4645
- Phone :
Second Address
- Catherine Park
- 2015 Uppergate Dr Ne
- Atlanta, GA
- Zip : 30322-2800
- Phone : (404) 712-1546
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207PP0204X | Pediatric Emergency Physician | 53684 | TN |
| Y | 208000000X | Pediatrician | 78174 | GA |
National Provider Identifier
| NPI | 1174968838 |
|---|---|
| Provider Name | Catherine Park |
| First Address | Atlanta, GA 30324-4645 |
| Second Address | Atlanta, GA 30322-2800 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/05/2013 |
| Last Update Date | 05/06/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.