Individual
MS. MEREDITH PAGE KELLEHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.M.SC., PA-C
Contact information
Practice address
5669 PEACHTREE DUNWOODY RD NE, SUITE 170, ATLANTA, GA 30342-1786
(404) 252-8377
Mailing address
1737 STONEY CREEK DR SE, ATLANTA, GA 30316-3675
(404) 831-5783
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
04752
GA
363AM0700X
Medical Physician Assistant
04752
GA
Other
Enumeration date
07/07/2007
Last updated
06/07/2011
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