Individual
KATHRYN LYNNETTE ELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
595 HURRICANE SHOALS RD NW STE 100, LAWRENCEVILLE, GA 30046
(404) 645-7150
Mailing address
497 WINN WAY STE A210, DECATUR, GA 30030
(404) 294-7033
(404) 296-4661
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
055942
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
367388655A
—
GA
Enumeration date
10/03/2006
Last updated
05/31/2018
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