Individual
KATHLEEN GEARHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
6095 PROFESSIONAL PKWY, SUITE 100, DOUGLASVILLE, GA 30134-5607
(770) 920-2255
(770) 920-9963
Mailing address
6095 PROFESSIONAL PKWY, SUITE 100, DOUGLASVILLE, GA 30134-5607
(770) 920-2255
(770) 920-9963
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN201546
GA
Other
Enumeration date
01/22/2015
Last updated
08/04/2016
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