Individual
KATHERINE ABRAHAM EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1713 COUNCIL BLUFF DR NE, ATLANTA, GA 30345-4139
(404) 327-7688
Mailing address
1713 COUNCIL BLUFF DR NE, ATLANTA, GA 30345-4139
(404) 327-7688
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
157007
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
892313246A
—
GA
05
—
892313246B
—
GA
Enumeration date
06/16/2005
Last updated
03/27/2014
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