Individual
MS. KELLY GLAZE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
790 CHURCH ST NE STE 400, MARIETTA, GA 30060-8957
(770) 405-2976
Mailing address
PO BOX 3157, INDIANAPOLIS, IN 46206-3157
(770) 405-2976
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
005343
GA
Other
Enumeration date
06/23/2008
Last updated
02/28/2024
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