Provider Demographics
NPI:1972038800
Name:TUGGLE, KATIE ELIZABETH (MD)
Entity type:Individual
Prefix:DR
First Name:KATIE
Middle Name:ELIZABETH
Last Name:TUGGLE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:500 MEDICAL CENTER BLVD STE 190
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-3379
Mailing Address - Country:US
Mailing Address - Phone:770-643-4115
Mailing Address - Fax:678-377-3820
Practice Address - Street 1:500 MEDICAL CENTER BLVD STE 190
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-3379
Practice Address - Country:US
Practice Address - Phone:770-643-4115
Practice Address - Fax:678-377-3820
Is Sole Proprietor?:No
Enumeration Date:2017-04-28
Last Update Date:2025-02-11
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Provider Licenses
StateLicense IDTaxonomies
GA89838207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology