Search › Georgia › 163WA0400X
Ethel Kelley
NPI 1023712163 · on the registry since 2023
Practice
- Address
- 229 S Davis Rd Ste 900
Lagrange, GA 30241 - Phone
- (706) 756-1489
- Organisation at this address
- Crossroads Treatment Center Of Lagrange, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 22
Registry record
- Primary taxonomy
- 163WA0400X
163WA0400X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-03-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia