Individual
NATASHA CARSWELL KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1006 ARBOR WAY, MCDONOUGH, GA 30253-8715
(678) 365-1611
Mailing address
100 POSTMASTER DR UNIT 2423, MCDONOUGH, GA 30253-2821
(678) 365-1611
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN174115
GA
163WC1500X
Community Health Registered Nurse
RN174115
GA
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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