DYLAN ELIJAH KEMP

ATHENS, GA
NPI1669143319
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2021-09-22
Last Update Date2021-09-22
Business Address
DYLAN ELIJAH KEMP
186 MATHEWS AVE
ATHENS, GA 30606-2952
Phone number: 706-207-7097
Mailing Address
DYLAN ELIJAH KEMP
186 MATHEWS AVE
ATHENS, GA 30606-2952
Phone number: 706-207-7097