Organization
C-WORTH FAMILY WALK-IN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELLY RAY ELLIOTT FNP-BC (PRESIDENT)
(706) 517-0656
Entity
Organization
Contact information
Practice address
2976 HIGHWAY 76, STE B, CHATSWORTH, GA 30705-6981
(706) 517-0656
(706) 517-0651
Mailing address
2976 HIGHWAY 76, STE B, CHATSWORTH, GA 30705-6981
(706) 517-0656
(706) 517-0651
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN115578
GA
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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