Individual
KEELY SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1016 HOWELL MILL RD NW, 3410, ATLANTA, GA 30318-5589
(470) 637-6225
Mailing address
1016 HOWELL MILL RD NW, 3410, ATLANTA, GA 30318-5589
(470) 637-6225
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
325324
MS
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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