Individual
KELLY JOCELYN-HOUCHIN SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
6325 HOSPITAL PARKWAY, JOHNS CREEK, GA 30097
(404) 778-8311
(770) 495-1585
Mailing address
6335 HOSPITAL PARKWAY, SUITE 111, JOHNS CREEK, GA 30097
(404) 778-8311
(770) 495-1585
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
004123
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
861528604A
—
GA
Enumeration date
01/05/2007
Last updated
04/04/2024
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