Individual
KELLEY DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D. CCC-A
Contact information
Practice address
5455 MERIDIAN MARKS RD, ATLANTA, GA 30342-1654
(404) 591-1884
Mailing address
902 LOCHWOLDE LN, BETHLEHEM, GA 30620-3123
(678) 863-7782
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD003971
GA
Other
Enumeration date
06/16/2014
Last updated
10/08/2020
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