Individual
DR. ERIK JOSEPH KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4900 IVEY RD NW STE 1226, ACWORTH, GA 30101-4108
(770) 974-3153
Mailing address
4900 IVEY RD NW STE 1226, ACWORTH, GA 30101-4108
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003338
GA
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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