Individual
MARY KATHERINE HAIRSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-5000
Mailing address
1208 AVALON BLVD, ALPHARETTA, GA 30009-2329
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
11318
GA
367H00000X
Anesthesiologist Assistant
—
—
Other
Enumeration date
08/15/2022
Last updated
12/08/2022
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