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1669218350
KELLIE THAXTON
WATKINSVILLE, GA
NPI
1669218350
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN300595)
Enumeration Date
2024-07-02
Last Update Date
2024-07-02
Business Address
KELLIE THAXTON
1150 GOLDEN WAY
WATKINSVILLE, GA 30677-7712
Phone number: 706-612-9401
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Mailing Address
KELLIE THAXTON
1150 GOLDEN WAY
WATKINSVILLE, GA 30677-7712
Phone number:
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