Individual
KELLI ANN RUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-0211
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
010053
GA
208000000X
Pediatrics Physician
2024-02009
NC
Other
Enumeration date
06/08/2018
Last updated
06/16/2025
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