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Contact Information

KATHERINE P BOHANNON, DO
204 PROFESSIONAL CT. SE
CALHAM, GA30701
 Phone: 706-625-5900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for KATHERINE P BOHANNON · (Female)

NPI Number 1669965489
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/07/2018
Last updated 08/06/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 010072
  • GA License # 88717
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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