Search › Georgia › 208600000X
Gordon Kelly, MD
NPI 1154314250 · on the registry since 2005
Practice
- Address
- 355 Clear Creek Pkwy
Suite 1003
Lavonia, GA 30553 - Phone
- (706) 356-4392
- Fax
- (866) 787-6602
- Organisation at this address
- St. Mary'S Medical Group, Inc.
St. Mary'S Medical Group, Inc.
St. Mary'S Medical Group, Inc.
North East Georgia Hearing & Balance ClinicInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Also registered as
- 208600000X
- Licence states on file
- GA, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-06-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia