Organization
KELLY RICH FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY GARDNER RICH M.D. (CEO)
(678) 859-1483
Entity
Organization
Contact information
Practice address
1215 EAGLES LANDING PKWY, SUITE 211, STOCKBRIDGE, GA 30281-7279
(470) 878-6912
(470) 878-1849
Mailing address
1215 EAGLES LANDING PKWY, SUITE 211, STOCKBRIDGE, GA 30281-7279
(470) 878-6912
(470) 878-1849
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
047988
GA
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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