Individual
MS. KELLY GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
960 JOHNSON FERRY RD, STE 100, ATLANTA, GA 30342-1631
(404) 252-9063
(404) 252-0873
Mailing address
960 JOHNSON FERRY RD, STE 100, ATLANTA, GA 30342-1631
(404) 252-9063
(404) 252-0873
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
006982
GA
Other
Enumeration date
11/05/2013
Last updated
10/01/2016
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