Individual
MRS. KELLI MCCARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
101 MAYO ST, AMERICUS, GA 31709-3695
(478) 951-5842
Mailing address
672 BICKLEY RD, BUTLER, GA 31006-3826
(478) 951-5842
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH012140
GA
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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