Individual
KELLY E DAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
601 S VETERANS BLVD, GLENNVILLE, GA 30427-1775
(912) 654-0475
Mailing address
601 S VETERANS BLVD, GLENNVILLE, GA 30427-1775
(912) 654-0475
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5597
GA
Other
Enumeration date
02/01/2010
Last updated
02/01/2010
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