Individual
KATELYN STURDIVANT OBRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1933 SHIELDS RD, DALTON, GA 30720-5069
(706) 278-6628
Mailing address
1933 SHIELDS RD, DALTON, GA 30720-5069
(706) 278-6628
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
101058
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/14/2020
Last updated
08/20/2024
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