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1902061864
KELLEY SUE WHARTON
LILBURN, GA
NPI
1902061864
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN113675)
Enumeration Date
2008-07-21
Last Update Date
2008-07-21
Business Address
-- KELLEY SUE WHARTON NP
4120 FIVE FORKS TRICKUM RD SW SUITE 105
LILBURN, GA 30047-3130
Phone number: 770-921-6900
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Mailing Address
-- KELLEY SUE WHARTON NP
4120 FIVE FORKS TRICKUM RD SW SUITE 105
LILBURN, GA 30047-3130
Phone number: 770-921-6900
Copy
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