Individual
MRS. KELLY CALLAHAN CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1498 JESSE JEWELL PKWY SE, SUITE C, GAINESVILLE, GA 30501-3874
(770) 287-9240
(770) 535-3059
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN139247
GA
363LW0102X
Women's Health Nurse Practitioner
RN139247
GA
Other
Enumeration date
07/26/2011
Last updated
01/04/2021
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