Individual
DR. BENJAMIN J KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 STONEFOREST DR STE 320, WOODSTOCK, GA 30189-4881
(770) 516-5199
(678) 213-1851
Mailing address
100 STONEFOREST DR 320, WOODSTOCK, GA 30189-4881
(770) 516-5199
(678) 213-1851
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
48120
GA
Other
Enumeration date
12/22/2005
Last updated
10/15/2015
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