| Doctor Name: | DR. KATOSHA ANDRA MUSE |
| NPI Number: | 1366763435 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | MD0000050313 |
| Business Practice Address: | 6005 Park Ave Suite 310 Memphis, TN - 381195202 |
| Business Phone Number: | 9017630833 |
| Business Fax Number: | 9017633831 |
| Mailing Address: | Po Box 951, WHITE SULPHUR SPRINGS |
| State: | WV |
| Postal Code: | 249860951 |
| Phone Number: | 3045365030 |
| Fax Number: | 3045365031 |
| NPI Enumeration Date: | 06/11/2010 |
| NPI Last Update Date: | 01/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | MD0000050313 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |