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Individual

MRS. KATHERINE PROTOPAPADAKIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1280 HIGHWAY 74 S STE 100, PEACHTREE CITY, GA 30269-3077
(678) 961-5150
Mailing address
1111 OAKLEY INDUSTRIAL BLVD APT 1101, FAIRBURN, GA 30213-6013
(786) 510-7338

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10142
GA
363A00000X
Physician Assistant
9111917
FL

Other

Enumeration date
07/16/2019
Last updated
10/18/2021
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