Organization
GEORGIA PSYCHIATRY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLIE KING APRN (OWNER)
(912) 223-2310
Entity
Organization
Contact information
Practice address
130 N GROSS RD, KINGSLAND, GA 31548-6262
(912) 208-2055
(912) 250-5813
Mailing address
429 EAGLE BLVD, KINGSLAND, GA 31548-6495
(912) 223-2310
(912) 250-5813
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003214783A
—
GA
05
—
003214783B
—
GA
Enumeration date
02/19/2025
Last updated
02/19/2025
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