Katherine Pottinger Bohannon, D.O.
Pediatrics in Calham, GA. Individual provider (NPI-1).
NPI number1669965489
StatusActive
Last updated in NPPESAug 6, 2021
Details
- NPI
- 1669965489
- Entity type
- Individual (NPI-1)
- Name
- Katherine Pottinger Bohannon
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 7, 2018
- Certification date
- Aug 6, 2021
- Last updated
- Aug 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 88717 | GA | Yes |
| 208000000X | Pediatrics | 010072 | GA |
Other names
- Katherine Pottinger (Former Name)
Practice location
204 Professional Ct. SeCalham, GA 30701
Phone 706-625-5900
Mailing address
204 Professional Court SeCalham, GA 30701
Phone 706-766-5643
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