Individual
VALENCIA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4751 BEST RD STE 400U, COLLEGE PARK, GA 30337-5609
(470) 586-3532
Mailing address
PO BOX 18382, ATLANTA, GA 30316-0382
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
1598
GA
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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