Individual
KATHERINE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4608 MOUNTAIN CREEK DR NE, ROSWELL, GA 30075-4037
(470) 991-7156
Mailing address
4608 MOUNTAIN CREEK DR NE, ROSWELL, GA 30075-4037
(470) 991-7156
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN244224
GA
Other
Enumeration date
04/03/2019
Last updated
04/04/2019
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