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Individual

MS. KATHARINE PERRY REBILLOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
315 W PONCE DE LEON AVE, DECATUR, GA 30030-2400
(678) 355-8764
(404) 215-9222
Mailing address
315 W PONCE DE LEON AVE, DECATUR, GA 30030-2400
(678) 355-8764
(404) 215-9222

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
202I975855

Other

Enumeration date
07/21/2011
Last updated
10/14/2025
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