Individual
KELSEY ANN CLEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4244 WASHINGTON RD, EVANS, GA 30809-3087
(706) 760-7607
Mailing address
1141 ELIAS STA, THOMSON, GA 30824-4172
(678) 577-9920
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10028
GA
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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