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NPI Code Detail

MEDICARE: DR. KATHERINE HOLT MAWHINNEY AU.D.

MEDICARE: DR. KATHERINE HOLT MAWHINNEY AU.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologistGA003800GA

General Provider Information

NPI Number : 1326298225
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHERINE HOLT MAWHINNEY AU.D.
Provider Business Mailing Address
First Line : 2365 OLD MILTON PKWY
Second Line : SUITE 200
City : ALPHARETTA
State : GA
Zip : 30009-2140
Country : US
Telephone Number : 770-740-1860
Fax Number : 770-753-0021
Provider Business Practice Location Address
First Line : 2365 OLD MILTON PKWY STE 200
Second Line : SUITE 200
City : ALPHARETTA
State : GA
Zip : 30009-2140
Country : US
Telephone Number : 770-740-1860
Fax Number : 770-753-0021
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2008
Last Update Date : 04/04/2013

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