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Dr. Phillip Justin Kelly
Student in an Organized Health Care Education/Training Program in Lithonia, Georgia
NPI 1598535619

Phillip Justin Kelly is a Student in an Organized Health Care Education/Training Program based in Atlanta, GA. Phillip Justin Kelly practices in Lithonia, GA. The NPI Number for Phillip Justin Kelly is 1598535619 and holds a License No. (Georgia).

The current practice location address for Phillip Justin Kelly is 8075 Mall Pkwy Ste 103, Lithonia, GA and can be reached out via phone at 770-484-2955. You can also correspond with Phillip Justin Kelly through the mailing address at 714 SUMMIT NORTH DR NE, ATLANTA, GA - 30324-3144 (mailing address contact number: ).

Location: 8075 Mall Pkwy Ste 103, Lithonia, GA, 30324-3144
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598535619
Provider Name
Phillip Justin Kelly
Credential
Provider Entity Type
Individual
Gender
Male
Address
8075 Mall Pkwy Ste 103, Lithonia, GA, 30324-3144
Phone Number
770-484-2955
Fax Number
Provider Enumeration Date
01/09/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8075 Mall Pkwy Ste 103
City
Lithonia
State
Georgia
Zip
30038-6993
Phone Number
770-484-2955
Fax Number
person
Provider Business Mailing Address Details
Address
8075 Mall Pkwy Ste 103
City
Lithonia
State
Georgia
Zip
30038-6993
Phone Number
770-484-2955
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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