| R.l.o'kelley D.d.s.p.a. | |
|
3100 E Shadowlawn Ave Ne Atlanta GA 30305-2406 | |
| (404) 261-3100 | |
| Not Available |
| Full Name | R.l.o'kelley D.d.s.p.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3100 E Shadowlawn Ave Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Robert L O'kelley (PRES) |
| Authorized Official Contact | 4042613100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R.l.o'kelley D.d.s.p.a. 3100 E Shadowlawn Ave Ne Atlanta GA 30305-2406 Ph: () - | R.l.o'kelley D.d.s.p.a. 3100 E Shadowlawn Ave Ne Atlanta GA 30305-2406 Ph: (404) 261-3100 |
| NPI Number | 1780897124 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 01/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780897124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7464 (Georgia) | Primary |
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