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Individual

MS. KELLY ANN LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1284 HAMPTON HALL DR NE, BROOKHAVEN, GA 30319-1962
(404) 263-3378
Mailing address
1284 HAMPTON HALL DR NE, BROOKHAVEN, GA 30319-1962
(404) 263-3378

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
GA

Other

Enumeration date
11/04/2025
Last updated
11/04/2025
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