Individual
KELLY ELIZABETH GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 778-3381
Mailing address
131 PONCE DE LEON AVE NE APT 243, ATLANTA, GA 30308-1946
(716) 860-4798
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET004050
GA
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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