Individual
PAMELA KELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2575 RECREATION RD, MACON, GA 31217-5028
(478) 743-5688
Mailing address
2575 RECREATION RD, MACON, GA 31217-5028
(478) 743-5688
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
GA
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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