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1124675301
PHILLIP SCHUYLER KELLOGG
DECATUR, GA
NPI
1124675301
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT014206)
Enumeration Date
2019-08-22
Last Update Date
2019-08-22
Business Address
PHILLIP SCHUYLER KELLOGG DPT
613 CHURCH ST
DECATUR, GA 30030-2517
Phone number: 607-220-3524
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Mailing Address
PHILLIP SCHUYLER KELLOGG DPT
245 E TRINITY PL UNIT 1419
DECATUR, GA 30030-3493
Phone number: 607-220-3524
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