Individual
KELLI MICHELLE DYE MCLAREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT DPT SCS CMTPT
Contact information
Practice address
470 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115-8015
(678) 773-9117
Mailing address
4490 INDIAN TRACE DR, ALPHARETTA, GA 30004-2584
(678) 773-9117
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
PT010287
GA
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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