Individual
KATHERINE S. ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P. A.
Contact information
Practice address
1296 SIMS ST, SUITE B, GAINESVILLE, GA 30501-3850
(770) 534-1856
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
1067363
GA
363AS0400X
Surgical Physician Assistant
Primary
004534
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
469655701A
—
GA
Enumeration date
08/31/2006
Last updated
12/07/2020
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