Individual
KELLIE ALEXANDER BLUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1331 HELEN HWY, CLEVELAND, GA 30528-2834
(706) 865-2191
(706) 865-7745
Mailing address
329 EAGLE ROCK RD, CLEVELAND, GA 30528-5789
(706) 809-9822
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN213709
GA
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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