Individual
KATRINA HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3320 OLD JEFFERSON RD, #400, ATHENS, GA 30607-1400
(706) 613-1625
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007494
GA
Other
Enumeration date
03/20/2015
Last updated
12/20/2023
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