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Kathryn G Brady, PAC

Physician Assistant in Canton, GA. Individual provider (NPI-1).

NPI number1912123761
StatusActive
Last updated in NPPESMar 22, 2016

Details

NPI
1912123761
Entity type
Individual (NPI-1)
Name
Mrs. Kathryn G Brady
Credential
PAC
Sex
Female
Sole proprietor
No
Enumeration date
Apr 18, 2007
Last updated
Mar 22, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant003445GAYes

Practice location

104 Prominence Point Pkwy
Suite 104
Canton, GA 30114-1236

Phone 770-704-6988

Mailing address

104 Prominence Point Pkwy
Suite 104
Canton, GA 30114-1236

Phone 770-704-6988

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