Provider Demographics
NPI:1396427365
Name:FOLEY, KATIE SNYDER
Entity type:Individual
Prefix:MRS
First Name:KATIE
Middle Name:SNYDER
Last Name:FOLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:KATIE
Other - Middle Name:ANN
Other - Last Name:SNYDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3736 MIKE PADGETT HWY STE A
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30906-0720
Mailing Address - Country:US
Mailing Address - Phone:706-560-2273
Mailing Address - Fax:706-560-0903
Practice Address - Street 1:3736 MIKE PADGETT HWY STE A
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30906-0720
Practice Address - Country:US
Practice Address - Phone:706-560-2273
Practice Address - Fax:706-560-0903
Is Sole Proprietor?:No
Enumeration Date:2023-08-01
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA11935363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant