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NPI Code Detail

MEDICARE: CULLEN DRISCOLL KELLY MD

MEDICARE: CULLEN DRISCOLL KELLY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician95750GA

General Provider Information

NPI Number : 1326686775
Entity Type Code : Individual
Provider Name (Legal Business Name) : CULLEN DRISCOLL KELLY MD
Provider Business Mailing Address
First Line : 1250 E 66TH ST
Second Line :
City : SAVANNAH
State : GA
Zip : 31404-5704
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 232 19TH ST NW STE 7220
Second Line :
City : ATLANTA
State : GA
Zip : 30363-1131
Country : US
Telephone Number : 404-367-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2019
Last Update Date : 03/29/2024

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Directions to “ CULLEN DRISCOLL KELLY MD” Practice Location

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