Individual
MRS. KATHRYN JALAL BAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(919) 636-2709
Mailing address
162 MEAD RD, DECATUR, GA 30030-3621
(919) 636-2709
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11501
GA
Other
Enumeration date
01/29/2009
Last updated
07/11/2024
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