person
Michael S. Kelleher, PA-C
Medical Physician Assistant in Marietta, Georgia
NPI 1326001272

Michael S. Kelleher is a Medical Physician Assistant based in Marietta, GA and is specialized in Medical. Michael S. Kelleher practices in Marietta, GA and has the professional credentials of PA-C. The NPI Number for Michael S. Kelleher is 1326001272 and holds a License No. 004757 (Georgia).

The current practice location address for Michael S. Kelleher is 55 Whitcher St Ne, Marietta, GA and can be reached out via phone at 770-424-6893 and via fax at 678-819-0357.

Location: 55 Whitcher St Ne, Marietta, GA, 30062-7517
person
Provider Profile Details
NPI Number
1326001272
Provider Name
Michael S. Kelleher
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
55 Whitcher St Ne, Marietta, GA, 30062-7517
Phone Number
770-424-6893
Fax Number
678-819-0357
Provider Enumeration Date
04/11/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
55 Whitcher St Ne
City
State
Zip
30060-1155
Phone Number
770-424-6893
Fax Number
678-819-0357
person
Provider Business Mailing Address Details
Address
55 Whitcher St Ne
City
State
Zip
30060-1155
Phone Number
770-424-6893
Fax Number
678-819-0357
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
004757 (Georgia)
Definition
Definition to come...
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