Janetta M Kelly
Pediatrician Family Doctor - Addiction Medicine
770 Village Square Dr
Stone Mountain
, Georgia 30083-3380
Janetta M Kelly
Pediatrician Family Doctor - Addiction Medicine
770 Village Square Dr
Stone Mountain
, Georgia 30083-3380
(404) 323-2988
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About
Features
Specialties
- Family Doctor - Addiction Medicine
- Pediatrician
Languages spoken
- English
Location
First Address
- Janetta M Kelly
- Po Box 191472
- Atlanta, GA
- Zip : 31119-1472
- Phone : (404) 323-2988
Second Address
- Janetta M Kelly
- 770 Village Square Dr
- Stone Mountain, GA
- Zip : 30083-3380
- Phone : (404) 323-2988
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FAQs
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What type of doctor is Janetta M Kelly
In what state does Janetta M Kelly practice in?
Where is Janetta M Kelly ’s practice located?
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Is Janetta M Kelly a sole practitioner?
Is Janetta M Kelly accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207QA0401X | Family Doctor - Addiction Medicine | 034169 | GA |
| Y | 208000000X | Pediatrician | 034169 | GA |
National Provider Identifier
| NPI | 1669666814 |
|---|---|
| Provider Name | Janetta M Kelly |
| First Address | Atlanta, GA 31119-1472 |
| Second Address | Stone Mountain, GA 30083-3380 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/08/2007 |
| Last Update Date | 10/07/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.