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Organization

KELLY PEDIATRIC SERVICES, LLC

Active
Other names
PEDIATRIC HOUSECALLS
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JANETTA M KELLY MD (CEO)
(404) 323-2988
Entity
Organization

Contact information

Practice address
1913 DRUID OAKS NE, ATLANTA, GA 30329-3286
(404) 323-2988
Mailing address
1913 DRUID OAKS NE, ATLANTA, GA 30329-3286

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
034169
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003127186A
GA
Enumeration date
03/13/2013
Last updated
03/13/2013
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