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Kenneth D Deaton JR., MD
Specialist in Macon, Georgia
NPI 1124062187

Kenneth D Deaton JR. is a Specialist based in Macon, GA. Kenneth D Deaton JR. practices in Macon, GA and has the professional credentials of MD. The NPI Number for Kenneth D Deaton JR. is 1124062187 and holds a License No. 31585 (Georgia).

The current practice location address for Kenneth D Deaton JR. is 800 1St St, Macon, GA and can be reached out via phone at 478-743-7068 and via fax at 478-741-1354. You can also correspond with Kenneth D Deaton JR. through the mailing address at 800 1ST ST, MACON, GA - 31201-8300 (mailing address contact number: 478-743-7068).

Location: 800 1St St, Macon, GA, 31201-8300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124062187
Provider Name
Kenneth D Deaton JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
800 1St St, Macon, GA, 31201-8300
Phone Number
478-743-7068
Fax Number
478-741-1354
Provider Enumeration Date
06/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000385019E 05 GA
institution
Provider Business Practice Location Address Details
Address
800 1St St
City
Macon
State
Georgia
Zip
31201-8300
Phone Number
478-743-7068
Fax Number
478-741-1354
person
Provider Business Mailing Address Details
Address
800 1St St
City
Macon
State
Georgia
Zip
31201-8300
Phone Number
478-743-7068
Fax Number
478-741-1354
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
31585 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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