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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. KATHY S POODIACK, PA-C

Active

MRS. KATHY S POODIACK, PA-C is a Medical Physician Assistant healthcare provider located in AUSTELL, Georgia. NPI 1700030624 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · AUSTELL, GA

Registration Details

NPI Number
1700030624
Provider Type
Individual
Gender
Female
NPI Issued
Nov 5, 2008 (17.734471238487 yrs)
Last Updated
Nov 10, 2009
License
PA9104850 (FL)

Practice Information

Address
1700 HOSPITAL SOUTH DRIVE
SUITE 300
AUSTELL, GA, 301068116
Browse GA providers · Browse ZIP 30106
Phone
7709442830
Fax
6785817170
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in AUSTELL, GA

Name Credential NPI
MR. FRANK HACHMUTH PHYSICIAN ASSISTANT 1386635902
MS. RAQUEL M DECAMP PA-C 1215913512
MRS. ALISON LEIGH OSBORN FUGARO PA 1841253903
SYLVONNE KENYATTA COX PA-C 1992863385
PATRICK DEROUEN PA-C 1184781999
STACEY K MUTZ PA-C 1588721393
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.