MS. Keely Dianne Small, PA-C

NPI #1164672689 in Macon, Georgia

Provider Information

NPI Number
1164672689
Entity Type
Individual
Name
MS. Keely Dianne Small, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Sep 19, 2008
Last Updated
Jan 17, 2020

Practice Location

Address
1014 FORSYTH ST
Address 2
STE 300
City
Macon
State
Georgia
ZIP Code
31201-2025
Phone
(478) 633-8700

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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