Individual
KATIE SOUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
68, SPRING STATION ROAD, FRANKLIN SPRINGS, GA 30639-3063
(706) 491-8428
Mailing address
3415 SANDY CROSS RD, ROYSTON, GA 30662-3371
(706) 491-8428
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006629
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003184538A
—
GA
Enumeration date
01/11/2017
Last updated
07/30/2021
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