Individual
MISS KELSEY MILLER DYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC/PC
Contact information
Practice address
1062 FORSYTH ST STE 3A, MACON, GA 31201-8640
(404) 256-2593
Mailing address
2835 BRANDYWINE RD STE 400, ATLANTA, GA 30341-5540
(404) 256-2593
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
RN051783939
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN235412
GA
363LP0222X
Critical Care Pediatric Nurse Practitioner
RN235412
GA
Other
Enumeration date
06/09/2018
Last updated
01/26/2021
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