Organization
VERNU 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MCCANTS MD (OWNER)
(270) 945-3095
Entity
Organization
Contact information
Practice address
11680 GREAT OAKS WAY STE 170, ALPHARETTA, GA 30022-2483
(678) 855-6535
(770) 203-1072
Mailing address
11680 GREAT OAKS WAY STE 170, ALPHARETTA, GA 30022-2483
(678) 855-6535
(770) 203-1072
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003151445L
—
GA
Enumeration date
07/17/2020
Last updated
05/20/2025
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