DR. Phillip Justin Kelly

NPI #1598535619 in Lithonia, Georgia

Provider Information

NPI Number: 1598535619
Entity Type: Individual
Name: DR. Phillip Justin Kelly
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 9, 2024
Last Updated: Jan 9, 2024

Practice Location

Address: 8075 MALL PKWY STE 103
City: Lithonia
State: Georgia
ZIP Code: 30038-6993
Phone: (770) 484-2955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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