Individual
JOHN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPH
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5516
(706) 596-5539
Mailing address
100 LOCKWOOD CT, COLUMBUS, GA 31906-4900
(706) 575-0580
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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