Individual
KELLY WILLIAMS CROWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(678) 274-2215
Mailing address
421 BOULEVARD, ATHENS, GA 30601-1964
(678) 274-2215
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
237697
GA
Other
Enumeration date
10/02/2018
Last updated
12/04/2018
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