Kelly Jefferson

NPI 1811254055 · on the registry since 2012

Practice

Address: 500 Lanier Ave W Ste 701
Fayetteville, GA 30214
Phone: (770) 460-9122
Fax: (770) 460-9132
Organisation at this address: Acts
Rn Drip, Llc
Sacred Waters, Llc
Serene Concepts Pc
Beth Care Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 62

Registry record

Primary taxonomy: Specialist
174400000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2013-01-02

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