Individual
KATHERINE MAXEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 TWIN OAKS CT, FORTSON, GA 31808-4479
(706) 615-4755
Mailing address
107 TWIN OAKS CT, FORTSON, GA 31808-4479
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN159807
GA
Other
Enumeration date
03/03/2023
Last updated
03/03/2023
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