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Individual

KELLY GROMMERSCH LYNCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3400C OLD MILTON PKWY STE 290, ALPHARETTA, GA 30005-4438
(770) 667-4343
(770) 772-0937
Mailing address
NORTHSIDE HOSPITAL - MANAGED CARE DEPARTMENT, 1000 JOHNSON FERRY RD NE ATLANTA, ATLANTA, GA 30342-3034
(404) 851-8097
(404) 250-8010

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
19544
SC
363LF0000X
Family Nurse Practitioner
19544
SC
363LF0000X
Family Nurse Practitioner
Primary
RN208756
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP3344
SC
Enumeration date
07/30/2015
Last updated
03/07/2018
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