Search › Georgia › 2085R0202X
Scott Kellermeyer
NPI 1518072800 · on the registry since 2006
Practice
- Address
- 725 Jesse Jewell Pkwy Se
Gainesville, GA 30501 - Phone
- (770) 535-9391
- Fax
- (770) 533-4701
- Organisation at this address
- The Longstreet Clinic Pc
The Longstreet Clinic, Pc
The Longstreet Clinic, Pc
Northeast Georgia Community Physicians LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 151
Additional practice sites
- 725 Jesse Jewell Pkwy Se, Gainesville, GA
- 1270 Friendship Rd, Braselton, GA
- 655 Jesse Jewell Pkwy Se Ste B, Gainesville, GA
Registry record
- Primary taxonomy
- 2085R0202X
2085R0202X
- Also registered as
- 2085R0202X
- Licence states on file
- VA, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-03-06
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