Individual
KELLY SWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1701 HARDEE AVE SW, ATLANTA, GA 30310-5110
(404) 321-6111
Mailing address
273 COBBLESTONE TRL, AVONDALE ESTATES, GA 30002-1231
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
1038746
GA
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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