Individual
MRS. KATHY S POODIACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1700 HOSPITAL SOUTH DRIVE, SUITE 300, AUSTELL, GA 30106-8116
(770) 944-2830
(678) 581-7170
Mailing address
1700 HOSPITAL SOUTH DRIVE, SUITE 300, AUSTELL, GA 30106-8116
(770) 944-2830
(678) 581-7170
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9104850
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002325
STATE MEDICAL LICENSE
GA
01
—
GRP245
MEDICARE, GROUP NUMBER
GA
Enumeration date
11/05/2008
Last updated
11/10/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us