Individual
KATHERINE DONOVAN HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
820 SAINT SEBASTIAN WAY STE 4A, AUGUSTA, GA 30901-2643
(706) 774-5995
(706) 774-5996
Mailing address
PO BOX 1705, AUGUSTA, GA 30903-1705
(706) 854-6008
(706) 854-6946
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005758
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301392981A
—
GA
05
—
301392981B
—
GA
05
—
301392981C
—
GA
05
—
301392981D
—
GA
Enumeration date
02/02/2010
Last updated
12/14/2020
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