Individual
KATELYN DUBROC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNIM
Contact information
Practice address
3284 NORTHSIDE PKWY NW STE 600, ATLANTA, GA 30327-2282
(337) 302-9364
Mailing address
3284 NORTHSIDE PKWY NW STE 600, ATLANTA, GA 30327-2282
(337) 302-9364
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4041
ABRET
—
Enumeration date
04/22/2021
Last updated
04/22/2021
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