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Dr. Kattia Blanco, MD
Student in an Organized Health Care Education/Training Program in Statham, Georgia
NPI 1366140873

Kattia Blanco is a Student in an Organized Health Care Education/Training Program based in Statham, GA. Kattia Blanco practices in Statham, GA and has the professional credentials of MD. The NPI Number for Kattia Blanco is 1366140873 and holds a License No. 16352I (Georgia).

The current practice location address for Kattia Blanco is 485 Canoe Ct, Statham, GA and can be reached out via phone at 404-775-4390.

Location: 485 Canoe Ct, Statham, GA, 30666-2142
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366140873
Provider Name
Kattia Blanco
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
485 Canoe Ct, Statham, GA, 30666-2142
Phone Number
404-775-4390
Fax Number
Provider Enumeration Date
02/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
485 Canoe Ct
City
Statham
State
Georgia
Zip
30666-2142
Phone Number
404-775-4390
Fax Number
person
Provider Business Mailing Address Details
Address
485 Canoe Ct
City
Statham
State
Georgia
Zip
30666-2142
Phone Number
404-775-4390
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
16352I ()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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