Doctor Name: | DR. PETER LEE KATZ |
NPI Number: | 1679543458 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 25151 |
Business Practice Address: | 1109 E Reelfoot Ave Suite A Union City, TN - 382615856 |
Business Phone Number: | 7318868441 |
Business Fax Number: | |
Mailing Address: | P.o. Box 405827, ATLANTA |
State: | GA |
Postal Code: | 303845827 |
Phone Number: | 8709345821 |
Fax Number: | 8709345384 |
NPI Enumeration Date: | 01/25/2006 |
NPI Last Update Date: | 12/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 25151 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
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. |