KELVIN L. DOUGLAS

JACKSON, TN
NPI1982643482
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: TN  26349)
Enumeration Date2006-06-06
Last Update Date2007-07-09
Business Address
-- KELVIN L. DOUGLAS M.D.
2156-B N. HIGHLAND AVE STE 282
JACKSON, TN 38305
Phone number: 731-499-2791
Mailing Address
-- KELVIN L. DOUGLAS M.D.
1505 WOODLAWN AVE STE A
DYERSBURG, TN 38024
Phone number: 731-287-1500
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