Individual
KELLI BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3343 US HIGHWAY 84 STE 103, BLACKSHEAR, GA 31516-2158
(912) 807-9355
Mailing address
3343 US HIGHWAY 84 STE 103, BLACKSHEAR, GA 31516-2158
(912) 807-9355
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11022261
FL
363LF0000X
Family Nurse Practitioner
Primary
GAA-NP001344
GA
Other
Enumeration date
12/02/2020
Last updated
05/29/2024
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