Individual
MS. MARY KATHERINE DEVOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
201 2ND ST STE 1100, MACON, GA 31201-6328
(478) 745-9200
(478) 745-9040
Mailing address
200 CHARTER LN APT 407, MACON, GA 31210-0525
(910) 520-4391
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
4021
NC
2251P0200X
Pediatric Physical Therapist
Primary
PT013772
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079M0
BCBS
NC
Enumeration date
09/26/2006
Last updated
01/16/2019
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