MEDICARE: ALBERT KATTINE M.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	207N00000X	Dermatology Physician	24568	TN

General Provider Information

NPI Number	:	1881682011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALBERT KATTINE M.D.

Provider Business Mailing Address
First Line	:	1430 MEDICAL CENTER PKWY
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37129-2202
Country	:	US
Telephone Number	:	615-867-8200
Fax Number	:	615-867-8221

Provider Business Practice Location Address
First Line	:	1430 MEDICAL CENTER PKWY
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37129-2202
Country	:	US
Telephone Number	:	615-867-8200
Fax Number	:	615-867-8221

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

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	06/25/2020

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