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1184617474
KELLEY P DOUGLAS
TIFTON, GA
NPI
1184617474
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: GA 033957)
Enumeration Date
2005-08-23
Last Update Date
2007-11-17
Business Address
-- KELLEY P DOUGLAS MD
901 18TH ST E
TIFTON, GA 31794-3648
Phone number: 912-287-1515
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Mailing Address
-- KELLEY P DOUGLAS MD
901 18TH ST E
TIFTON, GA 31794-3648
Phone number: 912-287-1515
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