Kelley, Gregory Russell

Kelley, Gregory Russell is an individual health care provider with primary practice located at 3025 Shrine Rd Ste 390 , Brunswick GA 31520-4786. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Kelley, Gregory Russell can be contacted via phone (912) 466-7380.

Contact Information

Primary practice address
3025 Shrine Rd Ste 390 Brunswick GA 31520-4786
Phone: (912) 466-7380
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 89690 Georgia

Profile Details

NPI number 1891180113
LBN Legal business name Kelley, Gregory Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2015
Last updated Oct 27th, 2021 - about 4 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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