Individual provider · Type 1 NPI

Katherine Mary Siedor, PA

Medical Physician Assistant · Lawrenceville, GA

NPI number 1285013458 Active

Practice location

766 Walther Rd, Suite 100
Lawrenceville, GA 30046-8764

Mailing address

3000 Mornington Dr NW
Atlanta, GA 30327-1222

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

8 other providers at this address

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About NPI 1285013458

Katherine Mary Siedor, PA's National Provider Identifier is 1285013458, issued on May 21, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lawrenceville, GA. The record was last updated on May 21, 2015.