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Individual
GREGORY RUSSELL KELLEY
Active
Individual
GREGORY RUSSELL KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
89690
GA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
89690
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2015
Last updated
04/30/2026
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