Individual
E KELLI QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1000 HOLCOMB WOODS PKWY, STE 426, ROSWELL, GA 30076-2575
(770) 851-9553
(770) 698-4178
Mailing address
700 AMSTER GREEN DR, ATLANTA, GA 30350-4139
(770) 851-9553
(770) 698-4178
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005554
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290890024C
—
GA
01
—
971452
BCBS PIN
GA
Enumeration date
12/04/2006
Last updated
05/20/2008
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