MEDICARE: DR. KATHERINE R CADLE 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
1	231H00000X	Audiologist	324	GA

General Provider Information

NPI Number	:	1366528994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHERINE R CADLE AU.D.

Provider Business Mailing Address
First Line	:	707 WHITLOCK AVE SW
Second Line	:	SUITE A36
City	:	MARIETTA
State	:	GA
Zip	:	30064-3000
Country	:	US
Telephone Number	:	770-427-3033
Fax Number	:	770-427-3035

Provider Business Practice Location Address
First Line	:	707 WHITLOCK AVE SW
Second Line	:	SUITE A36
City	:	MARIETTA
State	:	GA
Zip	:	30064-3000
Country	:	US
Telephone Number	:	770-427-3033
Fax Number	:	770-427-3035

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	12/15/2013

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