PHILLIP JUSTIN KELLY

LITHONIA, GA
NPI1598535619
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-01-09
Last Update Date2024-01-09
Business Address
Dr. PHILLIP JUSTIN KELLY
8075 MALL PKWY STE 103
LITHONIA, GA 30038-6993
Phone number: 770-484-2955
Mailing Address
Dr. PHILLIP JUSTIN KELLY
714 SUMMIT NORTH DR NE
ATLANTA, GA 30324-3144
Phone number: