Individual
MARY-CATHERINE CHITWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Contact information
Practice address
2300 MANCHESTER EXPY STE 201, COLUMBUS, GA 31904-6802
(706) 243-4550
Mailing address
2300 MANCHESTER EXPY STE 201, COLUMBUS, GA 31904-6802
(706) 243-4550
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT002049
GA
363A00000X
Physician Assistant
Primary
7595
GA
Other
Enumeration date
05/07/2015
Last updated
08/27/2019
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