JERRY KELLY

FORT STEWART, GA
NPI1043611783
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171000000X Military Health Care Provider
(Licence:   E3038628)
Enumeration Date2014-09-12
Last Update Date2014-09-12
Business Address
-- JERRY KELLY
1061 HARMON AVE
FORT STEWART, GA 31314-5641
Phone number: 912-435-5211
Mailing Address
-- JERRY KELLY
1061 HARMON AVE
FORT STEWART, GA 31314-5641
Phone number: 912-435-5211
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