Individual
DR. KELLY AYCOCK RAWLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
2024 POWERS FERRY RD SE, SUITE 190, ATLANTA, GA 30339-5011
(770) 953-6666
(770) 952-5842
Mailing address
2245 SAXONY TRCE, ALPHARETTA, GA 30005-2235
(678) 513-9023
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013008
GA
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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