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Individual

KELLY ZAVOLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3240 NORTHEAST EXPY NE, ATLANTA, GA 30341-4003
(404) 480-9330
Mailing address
6435 FOX CREEK DR, CUMMING, GA 30040-6692
(714) 743-1181

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4223
TN
363A00000X
Physician Assistant
Primary
10261
GA

Other

Enumeration date
12/31/2019
Last updated
10/05/2021
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