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1073543831
JASON KELLY
SPARTANBURG, SC
NPI
1073543831
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: SC 29694)
Enumeration Date
2006-07-04
Last Update Date
2019-03-27
Business Address
JASON KELLY MD
101 E WOOD ST
SPARTANBURG, SC 29303-3040
Phone number: 864-560-6522
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Mailing Address
JASON KELLY MD
PO BOX 678207
DALLAS, TX 75267-8207
Phone number: 800-841-4236
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