Individual
KELLY SOLMS GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3950 AUSTELL RD # 22, AUSTELL, GA 30106
(770) 732-4022
(770) 732-4023
Mailing address
3950 AUSTELL RD # 22, AUSTELL, GA 30106-1121
(770) 732-4022
(770) 732-4023
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
041677
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000701434F
—
GA
05
—
G41677
—
SC
01
—
P00649634
RR MEDICARE
GA
Enumeration date
02/12/2007
Last updated
10/16/2019
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