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DR. WILLIAM KENNEDY DOLEN M.D.

Allergy and Immunology

Augusta, Georgia

Provider NPI: 1649274630

Provider Information:
DR. WILLIAM KENNEDY DOLEN M.D.


Practice Location:
1120 15TH ST  AUGUSTA, GA 30912 US
Tel: 707-721-2390  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207K00000XPhysicians
Allergy & Immunology
GA036137
Y2080P0201XPhysicians
Pediatrics
GA036137

Other Provider Identifiers:

IssuerNumberStateType
03BDBDHGA08
000515996AGA05
G08300SC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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