Individual
ASHTON CHARLES KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-1634
Mailing address
1031 E CLUB CT NE, ATLANTA, GA 30319-7400
(404) 210-9289
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
GA
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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