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Kelley P Douglas, MD
Diagnostic Radiology Physician in Tifton, Georgia
NPI 1184617474

Kelley P Douglas is a Diagnostic Radiology Physician based in Tifton, GA and is specialized in Diagnostic Radiology. Kelley P Douglas practices in Tifton, GA and has the professional credentials of MD. The NPI Number for Kelley P Douglas is 1184617474 and holds a License No. 033957 (Georgia).

The current practice location address for Kelley P Douglas is 901 18Th St E, Tifton, GA and can be reached out via phone at 912-287-1515 and via fax at 912-287-1394.

Location: 901 18Th St E, Tifton, GA, 31794-3648
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184617474
Provider Name
Kelley P Douglas
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
901 18Th St E, Tifton, GA, 31794-3648
Phone Number
912-287-1515
Fax Number
912-287-1394
Provider Enumeration Date
08/23/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
901 18Th St E
City
Tifton
State
Georgia
Zip
31794-3648
Phone Number
912-287-1515
Fax Number
912-287-1394
person
Provider Business Mailing Address Details
Address
901 18Th St E
City
Tifton
State
Georgia
Zip
31794-3648
Phone Number
912-287-1515
Fax Number
912-287-1394
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
033957 (Georgia)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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