Individual
DR. KAITLYN NICOLE VANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2578 HELEN HWY, CLEVELAND, GA 30528-2848
(706) 865-1234
(706) 865-7265
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2018-00417
NC
207Q00000X
Family Medicine Physician
Primary
85269
GA
Other
Enumeration date
05/11/2016
Last updated
12/08/2020
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