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Bianca Kelly
NPI 1467724351 · on the registry since 2012 · sole proprietor
Practice
- Address
- 3209 Saint Clair Dr Ne
Atlanta, GA 30329 - Phone
- (404) 321-6788
Registry record
- Primary taxonomy
- 2355S0801X
2355S0801X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-02-07
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