Individual
KELLY JOAN HESLOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1755 HIGHWAY 34 E STE 2200, NEWNAN, GA 30265-3190
(770) 502-2175
Mailing address
1755 HIGHWAY 34 E STE 2200, NEWNAN, GA 30265-3190
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008327
GA
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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