Individual
KATELYN ANN ELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4890 ROSWELL RD STE B10, ATLANTA, GA 30342-2689
(404) 835-3052
Mailing address
4890 ROSWELL RD STE B10, ATLANTA, GA 30342-2689
(404) 835-3052
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9855
GA
Other
Enumeration date
07/20/2019
Last updated
07/02/2025
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