Provider Demographics
NPI:1023225067
Name:HILL, KATHERINE SUZANNE (MD)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:SUZANNE
Last Name:HILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:SUZANNE
Other - Last Name:YOUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2015 UPPERGATE DR
Mailing Address - Street 2:ROOM 434
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-0001
Mailing Address - Country:US
Mailing Address - Phone:404-785-0083
Mailing Address - Fax:404-785-6288
Practice Address - Street 1:2015 UPPERGATE DR
Practice Address - Street 2:ROOM 434
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-0001
Practice Address - Country:US
Practice Address - Phone:404-785-0083
Practice Address - Fax:404-785-6288
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2009-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program