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Individual
KELLY ZAVOLI
Active
Individual
KELLY ZAVOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4223
TN
363A00000X
Physician Assistant
Primary
10261
GA
Other
Enumeration date
12/31/2019
Last updated
10/05/2021
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