Mary Catherine Camacho
Student in an Organized Health Care Education/Training Program in Atlanta, GA. Individual provider (NPI-1).
NPI number1124698477
StatusActive
Last updated in NPPESMar 31, 2025
Details
- NPI
- 1124698477
- Entity type
- Individual (NPI-1)
- Name
- Mary Catherine Camacho
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2021
- Certification date
- Mar 31, 2025
- Last updated
- Mar 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
49 Jesse Hill Jr Dr SeAtlanta, GA 30303-3049
Phone 404-778-7777
Mailing address
100 Woodruff Cir Ne Ste P375Atlanta, GA 30322-1020
Phone 404-727-5655
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