Provider Demographics
NPI:1346686151
Name:GUSCHING, KATIE HOANG (DPM)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:HOANG
Last Name:GUSCHING
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:175 PINE GROVE RD STE 115
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30120-8483
Mailing Address - Country:US
Mailing Address - Phone:770-383-1883
Mailing Address - Fax:770-415-4095
Practice Address - Street 1:175 PINE GROVE RD STE 115
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-8483
Practice Address - Country:US
Practice Address - Phone:770-383-1883
Practice Address - Fax:770-415-4095
Is Sole Proprietor?:No
Enumeration Date:2013-05-20
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPOD001509213ES0103X
TNDPM000000843213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery