# AEROCLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316144058
- **Authorized official:** DR. ROSEMARY M KELLY MBA (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (770) 996-2630

## Contact information

- **Practice address:** 6000 NORTH TERMINAL PARKWAY, SUITE 375, ATRIUM ATLANTA HARTSFIELD-JACKSON AIRPORT, ATLANTA, GA 30320-7400
- **Practice address phone:** (404) 616-6000
- **Mailing address:** 1745 PHOENIX BLVD, SUITE 340, ATLANTA, GA 30349-5591
- **Mailing address phone:** (770) 996-2630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 031630 | GA | Yes |

## Other

- **Enumeration date:** 06/27/2007
- **Last updated:** 10/05/2010
