Individual
KATHRYN RUTH BOYLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6262 VETERANS PKWY, COLUMBUS, GA 31909-3540
(706) 266-3866
Mailing address
41 FORD DR SE, ROME, GA 30161-8617
(706) 266-6224
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/02/2017
Last updated
02/20/2020
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