Individual
KATHRYN IWASAKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5665 PEACHTREE DUNWOODY RD, ATLANTA, GA 30342-1764
(678) 843-7001
Mailing address
7250 AMBERLEIGH WAY, DULUTH, GA 30097-1870
(770) 232-9985
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
9758
GA
Other
Enumeration date
04/16/2020
Last updated
08/23/2023
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