Individual
KELLY SKONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3872 HIGHWAY 5, DOUGLASVILLE, GA 30135-3366
(770) 949-5535
Mailing address
180 SADDLE HORSE LN, HIRAM, GA 30141-2379
(714) 745-4458
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN267340
GA
Other
Enumeration date
01/22/2020
Last updated
04/09/2023
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