Individual
KELLY L BETANCES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPSGT
Contact information
Practice address
148 BILL CARRUTH PKWY STE 290, HIRAM, GA 30141-3764
(678) 519-8040
Mailing address
86 DALGETY XING, DALLAS, GA 30132-1992
(678) 519-8040
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
18976
NY
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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