NPI Code Details Logo

NPI 1831750926

NPI 1831750926 : KELLI STRICKLAND NP : CARROLLTON, GA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1831750926
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    KELLI STRICKLAND NP
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/28/2019
-----------------------------------------------------
    Last Update Date     |    10/20/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    157 CLINIC AVE STE 201 
-----------------------------------------------------
    City                 |    CARROLLTON
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30117-4454
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    770-214-2800
-----------------------------------------------------
    Fax                  |    770-214-2803
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    11 JOHN MADDOX DR NW 
-----------------------------------------------------
    City                 |    ROME
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30165-1413
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    706-295-3992
-----------------------------------------------------
    Fax                  |    706-378-5582
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207RG0100X
-----------------------------------------------------
    Taxonomy Name        |    Gastroenterology Physician
-----------------------------------------------------
    License Number       |    RN129673
-----------------------------------------------------
    License Number State |    GA
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.