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Individual
DR. KELLY VLASS CULBERTSON
Active
Individual
DR. KELLY VLASS CULBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
068717
GA
207Q00000X
Family Medicine Physician
30788
SC
207Q00000X
Family Medicine Physician
LL30788
SC
Other
Enumeration date
06/30/2008
Last updated
03/10/2023
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