Individual
GREGORY RUSSELL KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3025 SHRINE RD STE 390, BRUNSWICK, GA 31520-4786
(912) 466-7380
Mailing address
3025 SHRINE RD STE 390, BRUNSWICK, GA 31520-4786
(912) 466-7380
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
89690
GA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
89690
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2015
Last updated
04/30/2026
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