Individual
KATHY BOLIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 EMBASSY ROW STE 110, ATLANTA, GA 30328-5723
(404) 578-0454
Mailing address
1271 PEACHTREE VW NE, BROOKHAVEN, GA 30319-3411
(404) 578-0454
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
07/13/2023
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