Individual
DR. KELLY RENEE BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
406 ARNOLD ST NE, ATLANTA, GA 30308-2913
(404) 456-6261
Mailing address
406 ARNOLD ST NE, ATLANTA, GA 30308-2913
(404) 456-6261
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
44409
GA
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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