Individual
BYRON THOMAS KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 294-3835
(404) 508-7795
Mailing address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 294-3835
(404) 508-7795
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
032762
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00455749A
—
GA
Enumeration date
11/09/2006
Last updated
01/30/2016
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