Kathryn Jalal Bauman

Physician Assistant · Decatur, GA

Individual Active NPI

NPI number 1083852016

Practice location

1670 Clairmont Rd
Decatur, GA 30033-4004
Phone
(919) 636-2709

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NPI record

NPI
1083852016
Entity type
Individual (Type 1)
Enumeration date
January 29, 2009
Last updated
July 11, 2024
Certified
September 23, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 11501 GA

Mailing address

162 Mead Rd
Decatur, GA 30030-3621
Phone
(919) 636-2709

About Kathryn Bauman

Kathryn Jalal Bauman is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1670 Clairmont Rd, Decatur, GA 30033-4004. The NPI number 1083852016 was assigned on January 29, 2009 and the record was last updated on July 11, 2024.

Kathryn Bauman lists a license in the registry: #11501 (GA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kathryn Jalal Bauman?

The NPI number is 1083852016.

What is the phone number of Kathryn Bauman?

The phone number listed for the practice location is (919) 636-2709.

Where is Kathryn Bauman located?

1670 Clairmont Rd, Decatur, GA 30033-4004.

What is the taxonomy code for Kathryn Bauman?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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