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Organization

AEROCLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROSEMARY M KELLY MBA (EXECUTIVE VICE PRESIDENT)
(770) 996-2630
Entity
Organization

Contact information

Practice address
6000 NORTH TERMINAL PARKWAY, SUITE 375, ATRIUM ATLANTA HARTSFIELD-JACKSON AIRPORT, ATLANTA, GA 30320-7400
(404) 616-6000
Mailing address
1745 PHOENIX BLVD, SUITE 340, ATLANTA, GA 30349-5591
(770) 996-2630

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
031630
GA

Other

Enumeration date
06/27/2007
Last updated
10/05/2010
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