Individual
KELSEY AFONSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-0211
Mailing address
312 BRIDGEWATER CIR, ATHENS, GA 30601-2180
(404) 314-5617
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
249256
GA
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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