Individual
KELLIE CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1061 DOWDY RD, SUITE 100, ATHENS, GA 30606-5700
(706) 621-7575
Mailing address
1061 DOWDY RD, SUITE 100, ATHENS, GA 30606-5700
(706) 621-7575
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN210468
GA
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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