Most Relevant Information
Provider Data
| NPI Number: | 1003355249 |
| Provider Name: | KELSEY IRENE FORTIER NP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | RN211782 |
Most Important Dates
| Enumeration Date: | 02/21/2017 |
| Last Updated: | 02/21/2017 |
Provider Practice Location
1605 MULKEY RD
SUITE 220
AUSTELL
GA
301061127
Practice Location Phone/Fax
| Phone: | 4709563760 |
| Fax: |
Provider Mailing Location
3149 DUNN ST SE
SMYRNA
GA
300804413
Provider Mailing Phone/Fax
| Phone: | 7602144060 |
| Fax: |