Individual
KIRSTY J ELWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2001 ANTIOCH RD, DALTON, GA 30721-4622
(706) 275-7600
(706) 275-0013
Mailing address
2001 ANTIOCH RD, DALTON, GA 30721-4622
(706) 275-7600
(706) 275-0013
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
1519
TN
363AM0700X
Medical Physician Assistant
Primary
GA4447
GA
Other
Enumeration date
10/24/2006
Last updated
05/24/2012
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