Individual
MS. KATHERINE GWEN BAER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2208
(678) 787-8775
Mailing address
3097 CASTAWAY LN, ATLANTA, GA 30341-4618
(678) 787-8775
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
005742
GA
Other
Enumeration date
08/16/2012
Last updated
10/01/2012
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