Individual
DR. KELLY MILLER LATHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 S ENOTA DR NE, SUITE 150, GAINESVILLE, GA 30501-3473
(770) 534-5255
(770) 287-3871
Mailing address
200 S ENOTA DR NE, SUITE 150, GAINESVILLE, GA 30501-3473
(770) 534-5255
(770) 287-3871
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
002085
GA
Other
Enumeration date
01/05/2008
Last updated
09/14/2011
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