Individual
KATHERINE STORMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
346 DEEP SOUTH FARM RD STE A, BLAIRSVILLE, GA 30512
(706) 745-9417
Mailing address
346 DEEP SOUTH FARM RD STE A, BLAIRSVILLE, GA 30512-2218
(706) 745-9417
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
GA212978
GA
363LF0000X
Family Nurse Practitioner
Primary
RN212978
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003245381A
—
GA
Enumeration date
07/15/2014
Last updated
12/30/2022
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