Provider Demographics
NPI:1285066167
Name:GATWOOD, KATIE SCARLETT (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KATIE
Middle Name:SCARLETT
Last Name:GATWOOD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:KATIE
Other - Middle Name:SCARLETT
Other - Last Name:KAMINSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1810 CAHAL AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37206-1624
Mailing Address - Country:US
Mailing Address - Phone:586-381-2388
Mailing Address - Fax:
Practice Address - Street 1:1301 MEDICAL CENTER DR.
Practice Address - Street 2:ROOM 2776, TVC
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232
Practice Address - Country:US
Practice Address - Phone:615-936-0200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-02
Last Update Date:2019-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC23316183500000X
MI5302039614183500000X
TN395071835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology
No183500000XPharmacy Service ProvidersPharmacist