Individual
KATELYN STEELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
631 PROFESSIONAL DR STE 170, LAWRENCEVILLE, GA 30046-3392
(678) 312-2663
(770) 962-8587
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(706) 494-3008
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
36001759A
IN
2255A2300X
Athletic Trainer
AT002088
GA
363A00000X
Physician Assistant
9180
GA
363AS0400X
Surgical Physician Assistant
Primary
9180
GA
363AS0400X
Surgical Physician Assistant
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Other
Enumeration date
02/23/2012
Last updated
09/11/2020
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