Individual
MRS. KATHERINE JANE PURDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
354 ARCADO RD NW, LILBURN, GA 30047-2815
(770) 925-4200
(770) 279-1000
Mailing address
2841 TEMPLAR KNIGHT DR, TUCKER, GA 30084-2755
(770) 938-7903
(770) 279-1000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002896
GA
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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