Individual
MRS. KELLEY C SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.P.N.P.
Contact information
Practice address
3400A OLD MILTON PKWY STE 330, ALPHARETTA, GA 30005-4438
(770) 751-6111
(770) 772-6099
Mailing address
3400A OLD MILTON PKWY STE 330, ALPHARETTA, GA 30005-4438
(770) 751-6111
(770) 772-6099
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN171700
GA
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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