Individual
KELLY MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1332 SOUTHERN DR, STATESBORO, GA 30460-1360
(912) 478-4636
Mailing address
3786 US HIGHWAY 221 N, WRENS, GA 30833-4613
(706) 872-6768
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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