Poodiack, Kathy S
Poodiack, Kathy S is an individual health care provider with primary practice located at 1700 Hospital South Drive Suite 300, Austell GA 30106-8116. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Poodiack, Kathy S can be contacted via phone (770) 944-2830.Contact Information
Primary practice address
1700 Hospital South Drive Suite 300
Austell GA 30106-8116
Phone: (770) 944-2830
Fax: (678) 581-7170
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA9104850 | Florida |
Profile Details
| NPI number | 1700030624 |
|---|---|
| LBN Legal business name | Poodiack, Kathy S |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 5th, 2008 |
| Last updated | Nov 10th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700030624 | NPPES |
| Georgia | Other | 002325 | STATE MEDICAL LICENSE |
| Georgia | Other | GRP245 | STATE MEDICAL LICENSE |
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