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NPI Code Detail

MEDICARE: KARA YVETTE BOTTERS

MEDICARE: KARA YVETTE BOTTERS
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
1207RC0000XCardiovascular Disease PhysicianAPRN-NP106754GA

General Provider Information

NPI Number : 1801989660
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARA YVETTE BOTTERS
Provider Business Mailing Address
First Line : 5671 PEACHTREE DUNWOODY RD STE 300
Second Line :
City : ATLANTA
State : GA
Zip : 30342-5003
Country : US
Telephone Number : 404-778-6070
Fax Number : 678-843-6350
Provider Business Practice Location Address
First Line : 5671 PEACHTREE DUNWOODY RD STE 300
Second Line :
City : ATLANTA
State : GA
Zip : 30342-5003
Country : US
Telephone Number : 404-778-6070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 10/19/2025

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Directions to “ KARA YVETTE BOTTERS ” Practice Location

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