Individual
MS. KELSEY FOWLER CAMERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
225 CANDLER DR STE 300, SAVANNAH, GA 31405-6091
(912) 354-6187
Mailing address
836 E 65TH ST STE 4, SAVANNAH, GA 31405-4491
(912) 354-6187
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9645
GA
363A00000X
Physician Assistant
PA9110413
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022310500
—
FL
Enumeration date
06/19/2017
Last updated
03/21/2023
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