Search › Georgia › 172M00000X
Carroll Kelly, RN
NPI 1780081661 · on the registry since 2014 · sole proprietor
Practice
- Address
- 321 Washington Commons Dr
Evans, GA 30809 - Phone
- (706) 231-5552
- Organisation at this address
- Yay God Boo Devil Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 172M00000X
172M00000X
- Also registered as
- 163W00000X
174H00000X - Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-11-20
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