License holder summary

RUSSIN, KELLY ANN is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for RUSSIN, KELLY ANN is SOUTHSIDE MEDICAL CARE P.C. | 6325 SHANNON PARKWAY, Union City 30291. This doctor license is current. The license was granted 07/11/2003 and expired on 11/30/2016.

Georgia

Composite Medical Board

RUSSIN, KELLY ANN
Medical - Physician Assistant
License number
004096
Date granted
07/11/2003
Date expires
11/30/2016
Class
Medical - Physician Assistant
Status
Active
Address
SOUTHSIDE MEDICAL CARE P.C. | 6325 SHANNON PARKWAY
georgiadoctors.net
ID 38101243
LAST UPDATED 2024-05-05 21:02:36 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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