| Katie Clinics, Inc | |
|
4585 Austell Rd Austell GA 30106-1921 | |
| (770) 948-9338 | |
| (770) 948-5556 |
| Full Name | Katie Clinics, Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4585 Austell Rd, Austell, Georgia |
| Authorized Official Name and Position | Anthony Uba Ekwenchi (PSYCHIATRIST/OWNER) |
| Authorized Official Contact | 7709489338 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Clinics, Inc 4585 Austell Rd Austell GA 30106-1921 Ph: (770) 948-9338 | Katie Clinics, Inc 4585 Austell Rd Austell GA 30106-1921 Ph: (770) 948-9338 |
| NPI Number | 1447442827 |
|---|---|
| Provider Enumeration Date | 08/09/2007 |
| Last Update Date | 12/19/2023 |
| Certification Date | 12/19/2023 |
| Medicare PECOS PAC ID | 6608823604 |
|---|---|
| Medicare Enrollment ID | O20050401000385 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447442827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 038745 (Georgia) | Primary |
| Provider Name | Anthony U Ekwenchi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376765180 PECOS PAC ID: 4789631789 Enrollment ID: I20050401000409 |
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