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Individual

MRS. KATHLEEN JANE LAYMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
705 DIXIE ST, CARROLLTON, GA 30117-3818
(770) 836-9508
Mailing address
705 DIXIE ST, CARROLLTON, GA 30117-3818
(770) 616-0335

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
RN184062
GA
363L00000X
Nurse Practitioner
Primary
RN184062
GA

Other

Enumeration date
09/18/2017
Last updated
07/21/2022
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