Kelly Mcelreath Graham in Athens - Physician Assistant

Kelly Mcelreath Graham - NPI 1073716536

Kelly Mcelreath Graham is a Physician Assistant in Athens, Georgia. Kelly Mcelreath Graham practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kelly Mcelreath Graham is 1073716536. The last update date is 2020-11-11.

Kelly Mcelreath Graham's current location address is 1765 Old West Broad St Bldg 2-200, Athens, Georgia. You can contact this provider via phone number 7065491663 and fax number 7065468792. The mailing address for Kelly Mcelreath Graham is 1765 Old West Broad St Bldg 2-200, Athens, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly Mcelreath Graham
Address 1765 Old West Broad St Bldg 2-200, Athens, Georgia
Phone Number 7065491663
Fax Number 7065468792
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1073716536
Provider Enumeration Date 2007-06-11
Last Updated Date 2020-11-11

Provider Mailing Address Detail

Address 1765 Old West Broad St Bldg 2-200
City Athens
State Georgia (GA)
Post Code 306062887
Phone Number 7065491663
Fax Number 7065468792

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 5049
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Kelly Mcelreath Graham

What is the unique identifier code issued to Kelly Mcelreath Graham by the Centers for Medicare & Medicaid Services?

The Kelly Mcelreath Graham has been assigned the NPI (National Provider Identifier) 1073716536. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Kelly Mcelreath Graham's facilities are geographically located?

The facilities of Kelly Mcelreath Graham are physically situated at the following location: 1765 Old West Broad St Bldg 2-200, Athens, GA, 306062887.

What is Kelly Mcelreath Graham's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kelly Mcelreath Graham is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.

On what date did the Kelly Mcelreath Graham receive the assignment of its 1073716536 from the Centers for Medicare & Medicaid Services?

The Kelly Mcelreath Graham was issued its 1073716536 by the Centers for Medicare & Medicaid Services on 2007-06-11.

As of what date was the information pertaining to Kelly Mcelreath Graham, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kelly Mcelreath Graham, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-11-11.

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