Provider Demographics
NPI:1467710863
Name:COTTONE, KATHRYN LINDSEY JOHNSON (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:LINDSEY JOHNSON
Last Name:COTTONE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 GWINNETT DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-5669
Mailing Address - Country:US
Mailing Address - Phone:770-910-9196
Mailing Address - Fax:678-682-8747
Practice Address - Street 1:85 WAKEFIELD DR NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1538
Practice Address - Country:US
Practice Address - Phone:443-277-5723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-24
Last Update Date:2022-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA726592084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry