Individual provider · Type 1 NPI

Katonia Elis

Driver · Hampton, GA

NPI number 1265131247 Active

Practice location

101 Hillpine Trl # A
Hampton, GA 30228-2531

Mailing address

PO Box 1147
Experiment, GA 30212-1147

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000X054356109 (GA)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1265131247

Katonia Elis's National Provider Identifier is 1265131247, issued on Feb 28, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Hampton, GA. The record was last updated on Feb 28, 2023.