Individual
MRS. KATELYN WOODS CAPERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
925 BRANCH CT STE 101, GROVETOWN, GA 30813-3325
(706) 396-1199
(706) 396-1452
Mailing address
PO BOX 1705, AUGUSTA, GA 30903-1705
(706) 854-6008
(706) 774-7230
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
70904
GA
363A00000X
Physician Assistant
Primary
8503
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/22/2017
Last updated
11/23/2021
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