Katonia Elis is a Driver based in Experiment, GA. Katonia Elis practices in Hampton, GA. The NPI Number for Katonia Elis is 1265131247 and holds a License No. 054356109 (Georgia).
The current practice location address for Katonia Elis is 101 Hillpine Trl # A, Hampton, GA and can be reached out via phone at 678-852-5545.
Location: 101 Hillpine Trl # A, Hampton, GA, 30212-1147
Provider Profile Details
NPI Number
1265131247
Provider Name
Katonia Elis
Credential
Provider Entity Type
Individual
Gender
Female
Address
101 Hillpine Trl # A, Hampton, GA, 30212-1147
Phone Number
678-852-5545
Fax Number
Provider Enumeration Date
02/28/2023
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
101 Hillpine Trl # A
City
State
Zip
30228-2531
Phone Number
678-852-5545
Fax Number
Provider Business Mailing Address Details
Address
101 Hillpine Trl # A
City
State
Zip
30228-2531
Phone Number
678-852-5545
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
054356109 (Georgia)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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