Individual
KELLY SIERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
100 STONEFOREST DR STE 300, WOODSTOCK, GA 30189
(770) 517-6804
Mailing address
100 STONEFOREST DR STE 300, WOODSTOCK, GA 30189-4884
(770) 517-6804
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F03180127
GA
Other
Enumeration date
03/07/2018
Last updated
06/25/2018
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