Individual
ELICIA ARIEL PARVIN KIMSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
48 HILLS CREEK RD, TAYLORSVILLE, GA 30178-2051
(770) 684-8700
Mailing address
420 E 2ND AVE STE 103, ROME, GA 30161-3210
(706) 509-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005723
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
551689539A
—
GA
05
—
551689539B
—
GA
05
—
551689539C
—
GA
Enumeration date
11/04/2009
Last updated
06/15/2021
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