Katonia Elis

NPI #1265131247 in Hampton, Georgia

Provider Information

NPI Number: 1265131247
Entity Type: Individual
Name: Katonia Elis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Feb 28, 2023
Last Updated: Feb 28, 2023

Practice Location

Address: 101 HILLPINE TRL # A
City: Hampton
State: Georgia
ZIP Code: 30228-2531
Phone: (678) 852-5545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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