Shirley, Kelly Marie

Shirley, Kelly Marie is an individual health care provider with primary practice located at 450 Northside Cherokee Blvd. Radiology Dept., Canton GA 30115. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Shirley, Kelly Marie can be contacted via phone (770) 224-1400.

Contact Information

Primary practice address
450 Northside Cherokee Blvd. Radiology Dept. Canton GA 30115
Phone: (770) 224-1400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN224050 Georgia

Profile Details

NPI number 1033754163
LBN Legal business name Shirley, Kelly Marie
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2019
Last updated Nov 13th, 2019 - about 6 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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