Individual
MRS. KELLIE E NEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
400 TOWER RD NE STE 200, MARIETTA, GA 30060-9412
(770) 422-1372
Mailing address
237 PENNSYLVANIA AVE, DALLAS, GA 30132-1276
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN218103
GA
Other
Enumeration date
10/05/2015
Last updated
08/31/2022
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