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Individual

KELLIE BEVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, MSN, FNP-C

Contact information

Practice address
650 HENDERSON DR STE 504, CARTERSVILLE, GA 30120-3760
(770) 607-9032
Mailing address
5 RED LEAF BND SW, CARTERSVILLE, GA 30120-7484
(678) 767-1250

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RN240678
GA

Other

Enumeration date
04/22/2020
Last updated
04/22/2020
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