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Mr. Kelly Ray Elliott, FNP
Family Nurse Practitioner in Chatsworth, Georgia
NPI 1497798532

Kelly Ray Elliott is a Family Nurse Practitioner based in Chatsworth, GA and is specialized in Family. Kelly Ray Elliott practices in Chatsworth, GA and has the professional credentials of FNP. The NPI Number for Kelly Ray Elliott is 1497798532 and holds a License No. 977575 (Georgia).

The current practice location address for Kelly Ray Elliott is 2976 Highway 76, Chatsworth, GA and can be reached out via phone at 706-517-0656 and via fax at 706-517-0651.

Location: 2976 Highway 76, Chatsworth, GA, 30705-6981
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497798532
Provider Name
Kelly Ray Elliott
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
2976 Highway 76, Chatsworth, GA, 30705-6981
Phone Number
706-517-0656
Fax Number
706-517-0651
Provider Enumeration Date
06/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
777482691 05 GA
institution
Provider Business Practice Location Address Details
Address
2976 Highway 76
City
Chatsworth
State
Georgia
Zip
30705-6981
Phone Number
706-517-0656
Fax Number
706-517-0651
person
Provider Business Mailing Address Details
Address
2976 Highway 76
City
Chatsworth
State
Georgia
Zip
30705-6981
Phone Number
706-517-0656
Fax Number
706-517-0651
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
977575 (Georgia)
Definition
Definition to come...
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