Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2211 | GA |
NPI | 1003855396 |
---|---|
Provider Name | Dr. Linda H Katz |
First Address | Jonesboro, GA 30236 |
Second Address | Jonesboro, GA 30236 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 10/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T97685 | (02) | GA |