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Individual

LEAH MARIE KELLOGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
745 POPLAR RD, NEWNAN, GA 30265-1618
(770) 400-1000
Mailing address
398 MANN RD, TYRONE, GA 30290-1510
(678) 877-4497

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN-NP306344
GA

Other

Enumeration date
12/03/2025
Last updated
12/03/2025
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