Individual
KELLI ALICIA BOATRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEADOWS PKWY, VIDALIA, GA 30474-8759
(912) 535-5555
Mailing address
1 MEADOWS PKWY, VIDALIA, GA 30474-8759
(912) 535-5555
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN295084
GA
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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