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1407893217
KATIE BODYCOMB COVINGTON
WOODSTOCK, GA
NPI
1407893217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: GA 003796)
Enumeration Date
2006-06-01
Last Update Date
2015-09-09
Business Address
-- KATIE BODYCOMB COVINGTON PA
100 STONEFOREST DR STE 320
WOODSTOCK, GA 30189-4881
Phone number: 770-516-5199
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Mailing Address
-- KATIE BODYCOMB COVINGTON PA
100 STONEFOREST DR STE 320
WOODSTOCK, GA 30189-4881
Phone number: 770-516-5199
Copy
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