Individual
TODD F KELLEHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D . C.
Contact information
Practice address
4292 GRAY HIGHWAY, GRAY, GA 31032
(478) 986-6444
(478) 986-1254
Mailing address
P O BOX 2320, GRAY, GA 31032-2320
(478) 986-6444
(478) 986-1254
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005698
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
924255206A
—
GA
Enumeration date
05/01/2007
Last updated
06/09/2010
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