NPI 1780081661

Carroll Marie Kelly, RN

Practitioner Mechanotherapist Evans, GA

Practice location

Address: 321 Washington Commons Dr, Evans, GA 30809-3170
Phone: (706) 231-5552
Mailing address: 1801 Maryland Ave, Augusta, GA 30904-5316

Registered specialties (3)

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence RN113796 (GA)

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Registered Nurse

Nursing Service Providers Taxonomy 163W00000X Licence RN113796 (GA)

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Health Educator

Other Service Providers Taxonomy 174H00000X Licence RN113796 (GA)

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Registry record

NPI: 1780081661
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Nov 2014
Record last updated: 20 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.