Individual
KATHERINE L CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
7591 MOUNTAIN BREEZE, DOUGLASVILLE, GA 30134-3272
(404) 273-2093
Mailing address
7591 MOUNTAIN BREEZE, DOUGLASVILLE, GA 30134-3272
(404) 273-2093
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
01/10/2012
Last updated
05/02/2024
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