Healthcare Provider Details

I. General information

NPI: 1881682011
Provider Name (Legal Business Name): ALBERT KATTINE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2005
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

580 PROVIDENCE PARK DR E
MOBILE AL
36695-4614
US

IV. Provider business mailing address

1430 MEDICAL CENTER PKWY
MURFREESBORO TN
37129-2202
US

V. Phone/Fax

Practice location:
  • Phone: 251-631-3570
  • Fax: 251-631-3572
Mailing address:
  • Phone: 615-867-8200
  • Fax: 615-867-8221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number24543
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number24568
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: