Individual
KATHLENE HERBERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5085
(678) 604-1053
(678) 604-5548
Mailing address
909 EAGLES LANDING PKWY, SUITE 140-214, STOCKBRIDGE, GA 30281-7247
(678) 604-1053
(678) 604-5548
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
GA
Other
Enumeration date
06/09/2010
Last updated
06/09/2010
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