Individual
KATAYON YADEGARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
600 CELEBRATE LIFE PKWY, NEWNAN, GA 30265-8001
(770) 400-6000
Mailing address
1462 CLIFTON RD NE, ATLANTA, GA 30322-1063
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
11626
GA
Other
Enumeration date
09/21/2021
Last updated
07/18/2025
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