Marshall, Kelley W.

Marshall, Kelley W. is an sole proprietor health care provider with primary practice located at 7795 Landowne Dr , Atlanta GA 30350-1063. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Radiology, which is considered as her primary health care specialty. Marshall, Kelley W. can be contacted via phone (770) 730-8535.

Contact Information

Primary practice address
7795 Landowne Dr Atlanta GA 30350-1063
Phone: (770) 730-8535
Fax: (770) 730-8535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 048372 Georgia

Profile Details

NPI number 1962475582
LBN Legal business name Marshall, Kelley W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2006
Last updated Nov 1st, 2010 - about 14 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 1962475582 NPPES
Georgia MEDICAID 000852893
Georgia MEDICAID 200928350
Georgia Other 50019563
Georgia Other 000023033O
Georgia Other 00533044
Georgia Other 7100044200
Georgia Other 096946
Georgia Other 000000568993

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