Individual
DYLAN ELIJAH KEMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
186 MATHEWS AVE, ATHENS, GA 30606-2952
(706) 207-7097
Mailing address
186 MATHEWS AVE, ATHENS, GA 30606-2952
(706) 207-7097
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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