Kelly Ray Elliott, FNP
Nurse Practitioner, Family in Chatsworth, GA. Individual provider (NPI-1).
NPI number1497798532
StatusActive
Last updated in NPPESMay 11, 2009
Details
- NPI
- 1497798532
- Entity type
- Individual (NPI-1)
- Name
- Mr. Kelly Ray Elliott
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 14, 2006
- Last updated
- May 11, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 977575 | GA | Yes |
Practice location
2976 Highway 76Ste B&C
Chatsworth, GA 30705-6981
Phone 706-517-0656 · Fax 706-517-0651
Mailing address
2976 Highway 76Ste B&C
Chatsworth, GA 30705-6981
Phone 706-517-0656 · Fax 706-517-0651
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All 24 Family Nurse Practitioner providers in Chatsworth · All 252 providers in Chatsworth
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