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Individual

MRS. KATRINA WHITE MCKAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
004131
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0309PA
SC
05
143771834A
GA
Enumeration date
11/14/2005
Last updated
11/20/2013
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