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Kelly Jefferson
Specialist in Fayetteville, Georgia
NPI 1811254055

Kelly Jefferson is a Specialist based in Fayetteville, GA. Kelly Jefferson practices in Fayetteville, GA. The NPI Number for Kelly Jefferson is 1811254055 and holds a License No. CERTIFICATION (Georgia).

The current practice location address for Kelly Jefferson is 500 Lanier Ave W Ste 701, Fayetteville, GA and can be reached out via phone at 770-460-9122 and via fax at 770-460-9132.

Location: 500 Lanier Ave W Ste 701, Fayetteville, GA, 30214-7643
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811254055
Provider Name
Kelly Jefferson
Credential
Provider Entity Type
Individual
Gender
Female
Address
500 Lanier Ave W Ste 701, Fayetteville, GA, 30214-7643
Phone Number
770-460-9122
Fax Number
770-460-9132
Provider Enumeration Date
04/12/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
500 Lanier Ave W Ste 701
City
Fayetteville
State
Georgia
Zip
30214-7643
Phone Number
770-460-9122
Fax Number
770-460-9132
person
Provider Business Mailing Address Details
Address
500 Lanier Ave W Ste 701
City
Fayetteville
State
Georgia
Zip
30214-7643
Phone Number
770-460-9122
Fax Number
770-460-9132
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
CERTIFICATION (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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