Individual
KELSEY GUERRESO COURTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
790 CHURCH ST NE STE 400, MARIETTA, GA 30060-8957
(678) 626-0761
Mailing address
PO BOX 3157, INDIANAPOLIS, IN 46206-3157
(855) 871-1526
(855) 277-8543
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
60837
TN
2085R0202X
Diagnostic Radiology Physician
Primary
93176
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003270085M
—
GA
Enumeration date
08/20/2013
Last updated
06/27/2023
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