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Contact Information

KELLY S GARRISON, MD
3950 AUSTELL RD # 22
AUSTELL, GA30106
 Phone: 770-732-4022
 Fax: 770-732-4023
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for KELLY S GARRISON · (Female)

NPI Number 1083756894
Status Active
Credentials MD
Entity Individual
Enumeration date 02/12/2007
Last updated 10/16/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 041677
  • GA Medicaid 000701434F
  • SC Medicaid G41677
  • GA Other P00649634 RR MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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