Individual
KATHY WITHERELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 N POINT CTR E, STE 461, ALPHARETTA, GA 30022-8269
(678) 499-5636
(678) 366-5001
Mailing address
555 N POINT CTR E, STE 461, ALPHARETTA, GA 30022-8269
(678) 499-5636
(678) 366-5001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN212381
GA
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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