Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT009500 | GA |
NPI | 1003113929 |
---|---|
Provider Name | Katherine Hall Mcgilberry |
First Address | Columbus, GA 31908-8068 |
Second Address | Columbus, GA 31909-2742 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2011 |
Last Update Date | 13/02/2011 |