License holder summary

FOUNTAIN, KATIE is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for FOUNTAIN, KATIE is 420 EAST SECOND AVENUE, Rome 30161. This doctor license is current. The license was granted 07/10/2014 and expired on 08/31/2017.

Georgia

Composite Medical Board

FOUNTAIN, KATIE
Medical - Physician Assistant
License number
007228
Date granted
07/10/2014
Date expires
08/31/2017
Class
Medical - Physician Assistant
Status
Active
Address
420 EAST SECOND AVENUE
georgiadoctors.net
ID 38098078
LAST UPDATED 2024-02-22 00:16:02 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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