Individual
KIM WILLARD JELKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
643 MAIN ST, PALMETTO, GA 30268-1138
(404) 929-8824
(404) 929-9769
Mailing address
643 MAIN ST, PALMETTO, GA 30268-1138
(404) 929-8824
(404) 929-9769
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
029123
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620565904A
—
GA
Enumeration date
05/04/2006
Last updated
01/07/2026
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