Individual
KELLY MILLER AGNONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6135 BARFIELD RD, ATLANTA, GA 30328-4307
(678) 538-2152
Mailing address
210 CARRIAGE WAY LN, ROSWELL, GA 30076-3647
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
8305
GA
Other
Enumeration date
02/28/2017
Last updated
05/21/2024
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