Individual
GINA KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
730 PONCE DE LEON PL NE, UNIT B, ATLANTA, GA 30306-4287
(404) 541-0944
Mailing address
730 PONCE DE LEON PL NE, UNIT B, ATLANTA, GA 30306-4287
(404) 541-0944
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN185663
GA
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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