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Dr. Caroline Kelliny, PA

Internal Medicine in Suwanee, GA. Individual provider (NPI-1).

NPI number1164062550
StatusActive
Last updated in NPPESJan 14, 2020

Details

NPI
1164062550
Entity type
Individual (NPI-1)
Name
Dr. Caroline Kelliny
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Jan 14, 2020
Certification date
Jan 14, 2020
Last updated
Jan 14, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine615-paPRYes

Practice location

3770 Bridle Ridge Dr
Suwanee, GA 30024-1067

Phone 678-650-1298

Mailing address

3770 Bridle Ridge Dr
Suwanee, GA 30024-1067

Phone 678-650-1298

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