Individual
KATE KOSITZKY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C-NP
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3050
(404) 616-1000
Mailing address
PO BOX 878, TYRONE, GA 30290-0878
(678) 687-9539
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
216058
GA
Other
Enumeration date
11/05/2018
Last updated
02/16/2024
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