Individual
DR. KELLY BIRDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
4395 KIMBALL BRIDGE RD, ALPHARETTA, GA 30022-4409
(678) 566-0422
(678) 566-3112
Mailing address
4395 KIMBALL BRIDGE RD, ALPHARETTA, GA 30022-4409
(678) 566-0422
(678) 566-3112
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH020441
GA
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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