KELLY TICKLE

ATLANTA, GA
NPI1417379538
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: GA  RN228738)
Enumeration Date2014-01-08
Last Update Date2014-01-08
Business Address
-- KELLY TICKLE PCNS-BC, PPCNP-BC
5455 MERIDIAN MARKS RD STE 400
ATLANTA, GA 30342-4723
Phone number: 404-785-3240
Mailing Address
-- KELLY TICKLE PCNS-BC, PPCNP-BC
5455 MERIDIAN MARKS RD STE 400
ATLANTA, GA 30342-4723
Phone number: 404-785-3240