Kelly Ray Elliott is a Family in Chatsworth, Georgia. Kelly Ray Elliott practices all healthcare services and medical treatments related to Family. The NPI Number for Kelly Ray Elliott is 1497798532. The last update date is 2009-05-11.
Kelly Ray Elliott's current location address is 2976 Highway 76, Chatsworth, Georgia. You can contact this provider via phone number 7065170656 and fax number 7065170651. The mailing address for Kelly Ray Elliott is 2976 Highway 76, Chatsworth, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Ray Elliott |
|---|---|
| Address | 2976 Highway 76, Chatsworth, Georgia |
| Phone Number | 7065170656 |
| Fax Number | 7065170651 |
| Sole Proprietor | Y |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1497798532 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2009-05-11 |
Provider Mailing Address Detail
| Address | 2976 Highway 76 |
|---|---|
| City | Chatsworth |
| State | Georgia (GA) |
| Post Code | 307056981 |
| Phone Number | 7065170656 |
| Fax Number | 7065170651 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 977575 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 777482691 | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kelly Ray Elliott by the Centers for Medicare & Medicaid Services?
The Kelly Ray Elliott has been issued the NPI (National Provider Identifier) 1497798532 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Kelly Ray Elliott is physically located?
The Kelly Ray Elliott is situated at the following address: 2976 Highway 76, Chatsworth, GA 307056981.
What is Kelly Ray Elliott's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kelly Ray Elliott is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.
When was the Kelly Ray Elliott's 1497798532 issued?
The Kelly Ray Elliott's 1497798532 was issued on 2006-06-14.
As of what date were the Kelly Ray Elliott's details last updated?
The information pertaining to the Kelly Ray Elliott, including its address, specialty, and other details, was most recently updated on 2009-05-11.