Individual
JAMES C KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
620 BROAD ST, CENTRAL STATE HOSPITAL, MILLEDGEVILLE, GA 31062-7525
(478) 445-4128
Mailing address
620 BROAD ST, CENTRAL STATE HOSPITAL, MILLEDGEVILLE, GA 31062-7525
(478) 445-4128
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
017841
GA
Other
Enumeration date
08/13/2006
Last updated
07/31/2007
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