Provider Demographics
NPI:1427949148
Name:TRIMBLE, KATLIND MARIE
Entity type:Individual
Prefix:MRS
First Name:KATLIND
Middle Name:MARIE
Last Name:TRIMBLE
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:KATLIND
Other - Middle Name:
Other - Last Name:TRIMBLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:21 AMY LN
Mailing Address - Street 2:
Mailing Address - City:RINGGOLD
Mailing Address - State:GA
Mailing Address - Zip Code:30736-6111
Mailing Address - Country:US
Mailing Address - Phone:234-298-0099
Mailing Address - Fax:
Practice Address - Street 1:21 AMY LN
Practice Address - Street 2:
Practice Address - City:RINGGOLD
Practice Address - State:GA
Practice Address - Zip Code:30736-6111
Practice Address - Country:US
Practice Address - Phone:234-298-0099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA189852208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery