Individual
KELLY ELIZABETH SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
550 PEACHTREE ST NE, MOT 9TH FLOOR, ATLANTA, GA 30308
(404) 778-3381
Mailing address
550 PEACHTREE ST NE, MEDICAL OFFICE TOWER 9TH FLOOR, ATLANTA, GA 30308
(404) 778-3381
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006619
GA
Other
Enumeration date
11/19/2012
Last updated
10/23/2014
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