Fields, Katherine Johnson
Fields, Katherine Johnson is an individual health care provider with primary practice located at 200 Gentilly Blvd , Cartersville GA 30120-8504. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Fields, Katherine Johnson can be contacted via phone (470) 490-6860.Contact Information
Primary practice address
200 Gentilly Blvd
Cartersville GA 30120-8504
Phone: (470) 490-6860
Fax: (678) 721-9457
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 049891 | Georgia |
Profile Details
| NPI number | 1184784464 |
|---|---|
| LBN Legal business name | Fields, Katherine Johnson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 9th, 2006 |
| Last updated | Apr 23rd, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184784464 | NPPES |
| Georgia | MEDICAID | 000903097A |
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