Kelly, Benjamin J
Kelly, Benjamin J is an individual health care provider with primary practice located at 100 Stoneforest Dr Ste 320 , Woodstock GA 30189-4881. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kelly, Benjamin J can be contacted via phone (770) 516-5199.Contact Information
Primary practice address
100 Stoneforest Dr Ste 320
Woodstock GA 30189-4881
Phone: (770) 516-5199
Fax: (678) 213-1851
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 48120 | Georgia |
Profile Details
| NPI number | 1073599833 |
|---|---|
| LBN Legal business name | Kelly, Benjamin J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Oct 15th, 2015 - about 9 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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