Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 51343 | CO |
Y | 2080P0207X | Pediatric Hematology-Oncologist | 54499 | GA |
NPI | 1184867699 |
---|---|
Provider Name | Dr. Katherine A Minson |
First Address | Atlanta, GA 30322-1060 |
Second Address | Atlanta, GA 30322 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2009 |
Last Update Date | 04/06/2018 |