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1033754163
KELLY MARIE SHIRLEY
CANTON, GA
NPI
1033754163
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN224050)
Enumeration Date
2019-11-13
Last Update Date
2019-11-13
Business Address
KELLY MARIE SHIRLEY NP-C
450 NORTHSIDE CHEROKEE BLVD. RADIOLOGY DEPT.
CANTON, GA 30115
Phone number: 770-224-1400
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Mailing Address
KELLY MARIE SHIRLEY NP-C
1506 MOSSWOOD LN
WOODSTOCK, GA 30189-1529
Phone number: 678-634-1862
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