Individual
KATIE GROUNDS DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3000 SCHATULGA RD, COLUMBUS, GA 31907-3117
(706) 568-5000
Mailing address
3000 SCHATULGA RD, COLUMBUS, GA 31907-3117
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN258602
GA
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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