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1326001272
MICHAEL S. KELLEHER
MARIETTA, GA
NPI
1326001272
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: GA 004757)
Enumeration Date
2006-04-11
Last Update Date
2007-07-08
Business Address
-- MICHAEL S. KELLEHER PA-C
55 WHITCHER ST NE SUITE 350
MARIETTA, GA 30060-1155
Phone number: 770-424-6893
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Mailing Address
-- MICHAEL S. KELLEHER PA-C
2085 ROSWELL RD APT 1734
MARIETTA, GA 30062-7517
Phone number: 770-424-6893
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