Individual
KATHERINE FAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(650) 743-0647
Mailing address
906 BRIARCLIFF RD NE APT 10, ATLANTA, GA 30306-4628
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
076534
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
04/01/2013
Last updated
08/08/2022
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