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Emily Self

NPI 1780374231 · on the registry since 2023

Practice

Address
255 Old Rome Rd
Kingston, GA 30145
Phone
(706) 676-4433

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-05-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia