Individual
DR. PEYTON ROSE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
12 EXECUTIVE PARK DR NE, ATLANTA, GA 30329-2206
(404) 778-7777
Mailing address
1070 ANGELO CT NE, ATLANTA, GA 30319-1042
(770) 315-2305
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
PT013607
GA
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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