Kerley, Donald Craig

Kerley, Donald Craig is an sole proprietor health care provider with primary practice located at 3949 Holcomb Bridge Rd Suite 202, Norcross GA 30092-2207. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is his primary health care specialty. Kerley, Donald Craig can be contacted via phone (770) 449-0082.

Contact Information

Primary practice address
3949 Holcomb Bridge Rd Suite 202 Norcross GA 30092-2207
Phone: (770) 449-0082
Fax: (678) 623-8234
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY002840 Georgia
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY002840 Georgia

Profile Details

NPI number 1215010665
LBN Legal business name Kerley, Donald Craig
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215010665 NPPES
Georgia Other 10053301 AMERIGROUP ID NUMBER
Georgia Other 52841596 002 AMERIGROUP ID NUMBER

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