Katherine Mary Siedor, PA
NPI #1285013458 in Lawrenceville, Georgia
Provider Information
- NPI Number
- 1285013458
- Entity Type
- Individual
- Name
- Katherine Mary Siedor, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA
- Enumeration Date
- May 21, 2015
- Last Updated
- May 21, 2015
Practice Location
- Address
- 766 WALTHER RD
- Address 2
- SUITE 100
- City
- Lawrenceville
- State
- Georgia
- ZIP Code
- 30046-8764
- Phone
- (678) 312-9100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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