| D/b/a Timothy P Kelly Dc | |
|
3098 Piedmont Rd Ne, Suite 430, Atlanta, GA 30305-2600 | |
| (404) 477-1589 | |
| (770) 992-3676 |
| Full Name | D/b/a Timothy P Kelly Dc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 3098 Piedmont Rd Ne, Atlanta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245448604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIR002569 (Georgia) | Primary |
| Provider Name | Timothy P Kelly |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1063592558 PECOS PAC ID: 0446412647 Enrollment ID: I20120504000457 |
| Mailing Address | Practice Location Address |
|---|---|
| D/b/a Timothy P Kelly Dc 3098 Piedmont Rd Ne, Suite 430, Atlanta, GA 30305-2600 Ph: (404) 477-1589 | D/b/a Timothy P Kelly Dc 3098 Piedmont Rd Ne, Suite 430, Atlanta, GA 30305-2600 Ph: (404) 477-1589 |
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