Individual
DR. PATRICK MCMILLAN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
127 TELFAIR ST, AUGUSTA, GA 30901-2590
(706) 922-0600
(706) 396-1461
Mailing address
PO BOX 2344, AUGUSTA, GA 30903-2344
(706) 922-0600
(855) 634-9302
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
80851
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003214023A
—
GA
05
—
003214023B
—
GA
05
—
GA2372
—
SC
Enumeration date
03/29/2011
Last updated
01/30/2024
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