Individual
KELLI SUSANNE DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
503 WINDING WAY, HARTWELL, GA 30643-4062
(706) 614-0733
Mailing address
503 WINDING WAY, HARTWELL, GA 30643-4062
(706) 614-0733
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN279381
GA
Other
Enumeration date
03/10/2022
Last updated
08/11/2022
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