Individual
KRISTIN JANE HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4446 WASHINGTON RD, STE # 7, EVANS, GA 30809-6360
(706) 774-7263
(706) 774-7230
Mailing address
PO BOX 1705, AUGUSTA, GA 30903-1705
(706) 774-7263
(706) 774-7230
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6253
GA
Other
Enumeration date
12/08/2011
Last updated
10/11/2016
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