Individual
ADAM KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
254 ROBERT C DANIEL JR PKWY STE 4B, AUGUSTA, GA 30909-0812
(706) 723-5795
(706) 723-5831
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(866) 518-0283
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008798
GA
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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