Individual
KATHLEEN MARIE SKLIVAGKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2710 OLD MILTON PKWY STE 150, ALPHARETTA, GA 30009-2223
(770) 274-9511
Mailing address
350 MONIVEA LN, ROSWELL, GA 30075-2813
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
222102
GA
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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