Katie Koshofer PA-C

NPI 1720209935 - Physician Assistant - 363A00000X

NPI Details
NPI 1720209935
Gender Female
Enumeration Date 05/02/2007
Last Updated 11/18/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
145 EAGLES WALK
SUITE A
STOCKBRIDGE GA, 30281-7340, US
Phone (770) 389-3855
Fax (770) 474-8078
Business Location
145 EAGLES WALK
SUITE A
STOCKBRIDGE GA, 30281-7340, US
Phone (770) 389-3855
Fax (770) 474-8078
Toxanomy
Taxonomy Code 363A00000X
License State Georgia
License Number 5017
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According to our database, Katie Koshofer PA-C NPI is 1720209935, taxonomy code is 363A00000X and license number is 5017, license state is located at Georgia. Katie Koshofer PA-C physically located at 145 Eagles Walk, Stockbridge GA, 30281-7340. NPI Number Katie Koshofer PA-C has the Individual type.

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1720209935 NPI number is provided on an as is basis without warranty of any kind. 1720209935 is maintained by the National Plan & Provider Enumeration System. The contents of Katie Koshofer PA-C are for informational purposes only.