Dr. Katherine Marie Mcbride
Surgeon Surgical Critical Care
4750 Waters Ave Ste 202
Savannah
, Georgia 31404-6278
Dr. Katherine Marie Mcbride
Surgeon Surgical Critical Care
4750 Waters Ave Ste 202
Savannah
, Georgia 31404-6278
(912) 350-7412
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About
Features
Specialties
- Surgeon
- Surgical Critical Care
Languages spoken
- English
Location
First Address
- Dr. Katherine Marie Mcbride
- 4750 Waters Ave Ste 202
- Savannah, GA
- Zip : 31404-6278
- Phone : (912) 350-7412
Second Address
- Dr. Katherine Marie Mcbride
- 4750 Waters Ave Ste 202
- Savannah, GA
- Zip : 31404-6278
- Phone : (912) 350-7412
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 2017-00986 | NC |
| N | 208600000X | Surgeon | 2017-00986 | NC |
| N | 208200000X | Surgeon | 73847 | GA |
| N | 208600000X | Surgeon | 73847 | GA |
| N | 2086S0102X | Surgical Critical Care | 2017-00986 | NC |
| Y | 2086S0102X | Surgical Critical Care | 73847 | GA |
National Provider Identifier
| NPI | 1205199700 |
|---|---|
| Provider Name | Dr. Katherine Marie Mcbride |
| First Address | Savannah, GA 31404-6278 |
| Second Address | Savannah, GA 31404-6278 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/06/2012 |
| Last Update Date | 23/07/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1205199700 | (05) | NC |
| 19XB3 | BCBS OF NC (01) | NC |
| NN37980322 | MEDICARE (01) | NC |
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.