Zoppoth, Katherine Julia

Zoppoth, Katherine Julia is an individual health care provider with primary practice located at 6095 Professional Pkwy Unit 100 , Douglasville GA 30134-5607. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Zoppoth, Katherine Julia can be contacted via phone (770) 920-2255.

Contact Information

Primary practice address
6095 Professional Pkwy Unit 100 Douglasville GA 30134-5607
Phone: (770) 920-2255
Fax: (770) 920-9963
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 233104 Kentucky

Profile Details

NPI number 1164071726
LBN Legal business name Zoppoth, Katherine Julia
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2019
Last updated Jul 15th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164071726 NPPES
Kentucky MEDICAID 201914822

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