Jefferson, Kelly
Jefferson, Kelly is an individual health care provider with primary practice located at 500 Lanier Ave W Ste 701 , Fayetteville GA 30214-7643. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Jefferson, Kelly can be contacted via phone (770) 460-9122.Contact Information
Primary practice address
500 Lanier Ave W Ste 701
Fayetteville GA 30214-7643
Phone: (770) 460-9122
Fax: (770) 460-9132
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | CERTIFICATION | Georgia |
Profile Details
| NPI number | 1811254055 |
|---|---|
| LBN Legal business name | Jefferson, Kelly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2012 |
| Last updated | Jan 2nd, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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