Individual
KELLY MARIE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2069 KINNETT RD, MILAN, GA 31060-4724
(229) 860-0568
Mailing address
2069 KINNETT RD, MILAN, GA 31060-4724
(229) 860-0568
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN165420
GA
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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