Kelly, Phillip Justin
Kelly, Phillip Justin is an individual health care provider with primary practice located at 8075 Mall Pkwy Ste 103 , Lithonia GA 30038-6993. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Kelly, Phillip Justin can be contacted via phone (770) 484-2955.Contact Information
Primary practice address
8075 Mall Pkwy Ste 103
Lithonia GA 30038-6993
Phone: (770) 484-2955
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1598535619 |
|---|---|
| LBN Legal business name | Kelly, Phillip Justin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2024 |
| Last updated | Jan 9th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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