Individual
KRISTINA POSS BOCCUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1305 JENNINGS MILL RD BLDG 300-110, WATKINSVILLE, GA 30677-7238
(706) 613-5880
Mailing address
4234 WAYLON DR, MARTINEZ, GA 30907-1346
(404) 909-1220
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
12550
GA
363A00000X
Physician Assistant
Primary
12550
GA
Other
Enumeration date
08/07/2018
Last updated
11/05/2024
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