Individual
KATIE BODYCOMB COVINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 STONEFOREST DR STE 320, WOODSTOCK, GA 30189-4881
(770) 516-5199
(678) 213-1851
Mailing address
100 STONEFOREST DR STE 320, WOODSTOCK, GA 30189-4881
(770) 516-5199
(678) 213-1851
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003796
GA
Other
Enumeration date
06/01/2006
Last updated
09/09/2015
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