Individual
MS. KILEY JORDAN PARRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 MICHAEL ETCHISON RD, MONROE, GA 30655-5996
(770) 476-7656
Mailing address
1019 GREENWOOD AVE NE APT 6, ATLANTA, GA 30306-3841
(631) 965-0061
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11043
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/24/2022
Last updated
07/20/2022
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