Individual provider · Type 1 NPI

Phillip Justin Kelly

Student in an Organized Health Care Education/Training Program · Lithonia, GA

NPI number 1598535619 Active

Practice location

8075 Mall Pkwy Ste 103
Lithonia, GA 30038-6993

Call (770) 484-2955 Map

Mailing address

714 Summit North Dr NE
Atlanta, GA 30324-3144

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2 other providers at this address

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About NPI 1598535619

Phillip Justin Kelly's National Provider Identifier is 1598535619, issued on Jan 9, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lithonia, GA. The record was last updated on Jan 9, 2024.