Kellam, Byron
Kellam, Byron is an individual health care provider with primary practice located at 3292 Thornecreek Dr , Douglasville GA 30135-8124. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Kellam, Byron can be contacted via phone (404) 557-0747.Contact Information
Primary practice address
3292 Thornecreek Dr
Douglasville GA 30135-8124
Phone: (404) 557-0747
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 004651 | Georgia |
Profile Details
| NPI number | 1679893259 |
|---|---|
| LBN Legal business name | Kellam, Byron |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2010 |
| Last updated | Dec 23rd, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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