Individual
KATHY RENE' GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
960 JOE FRANK HARRIS PKWY SE, CARTERSVILLE, GA 30120-2129
(470) 490-2142
(470) 490-2140
Mailing address
11 A C DR, DALLAS, GA 30132-0215
(470) 330-6399
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN-NP139977
GA
Other
Enumeration date
03/06/2024
Last updated
12/15/2025
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