Individual
KELLYE SMITH-ESSIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
5391 BOREAL WAY SW, ATLANTA, GA 30331-9213
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN185565
GA
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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