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Individual

ALLISON KELLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
125 KING AVE STE 200, ATHENS, GA 30606-6710
(706) 369-4478
(706) 353-6639
Mailing address
1835 SAVOY DR STE 203, ATLANTA, GA 30341-1073
(770) 496-9430
(404) 891-4947

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
RN188654
GA
363L00000X
Nurse Practitioner
Primary
RN188654
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
RN188654
GA
Enumeration date
02/09/2018
Last updated
08/14/2024
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