Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 74582 | GA |
NPI | 1023384385 |
---|---|
Provider Name | Dr. Kelly D. Schrapp |
First Address | Atlanta, GA 30309-1748 |
Second Address | Atlanta, GA 30310-1458 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2012 |
Last Update Date | 15/06/2018 |