Individual
KATIE ELISA BERKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
226 E COLLEGE ST STE B, GRIFFIN, GA 30224-4348
(678) 987-1490
(678) 987-1491
Mailing address
226 E COLLEGE ST STE B, GRIFFIN, GA 30224-4348
(678) 987-1490
(678) 987-1491
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00000
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/28/2021
Last updated
08/04/2021
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