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Katonia Elis

NPI 1265131247 · on the registry since 2023 · sole proprietor

Practice

Address
101 Hillpine Trl # A
Hampton, GA 30228
Phone
(678) 852-5545

Registry record

Primary taxonomy
Driver
172A00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-02-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia