Individual
KELLIE MERCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC II
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(229) 732-5276
(229) 732-5090
Mailing address
304 N LUMPKIN ST, CUTHBERT, GA 39840-1447
(229) 732-3105
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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