Individual
DR. KATHRYN P. NEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2864 E CHEROKEE DR STE G, CANTON, GA 30115
(770) 704-2763
(770) 704-2765
Mailing address
2864 E CHEROKEE DR STE G, CANTON, GA 30115-8693
(770) 704-2763
(770) 704-2765
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
046189
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00804196E
—
GA
Enumeration date
10/05/2006
Last updated
05/20/2020
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