Individual
DR. KELLY HARTLINE SKELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
1670 CLAIRMONT RD, ATLANTA VAMC, MHSL, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
2620 WILLOW CV, DECATUR, GA 30033-2200
(404) 321-6111
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
054341
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054341
GA PHYSICIAN LICENSE #
GA
Enumeration date
08/24/2006
Last updated
07/08/2007
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