Individual
KATHRYN CAMILLE SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3950 AUSTELL RD, AUSTELL, GA 30106-1121
(470) 732-4000
Mailing address
324 COPPERGATE CT, HOLLY SPRINGS, GA 30115-9370
(770) 508-7475
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
RN245861
GA
363LF0000X
Family Nurse Practitioner
Primary
RN245861
GA
Other
Enumeration date
02/18/2021
Last updated
02/08/2024
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