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1982643482
KELVIN L. DOUGLAS
JACKSON, TN
NPI
1982643482
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TN 26349)
Enumeration Date
2006-06-06
Last Update Date
2007-07-09
Business Address
-- KELVIN L. DOUGLAS M.D.
2156-B N. HIGHLAND AVE STE 282
JACKSON, TN 38305
Phone number: 731-499-2791
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Mailing Address
-- KELVIN L. DOUGLAS M.D.
1505 WOODLAWN AVE STE A
DYERSBURG, TN 38024
Phone number: 731-287-1500
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