Individual
MRS. KATRINA WHITE MCKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
302 UNIVERSITY PKWY, AIKEN, SC 29801-6302
(803) 641-5000
(803) 641-5625
Mailing address
PO BOX 741221, ATLANTA, GA 30374-1221
(803) 641-5651
(803) 641-5625
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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