Individual
KATHRYN SLATTERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 W GORDON ST, THOMASTON, GA 30286-3426
(706) 647-8111
Mailing address
801 W GORDON ST, THOMASTON, GA 30286-3426
(912) 674-7678
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA004766
GA
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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