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Individual

KELLY TAYLOR WILMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
618 E LAMAR ST, AMERICUS, GA 31709-3738
(229) 928-8355
Mailing address
342 MEADOW WOOD DR, ELLAVILLE, GA 31806-8950
(229) 314-2092

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN227637
GA

Other

Enumeration date
09/27/2017
Last updated
05/04/2020
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