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Kelley Douglas, MD
NPI 1184617474 · on the registry since 2005
Practice
- Address
- 901 18th St E
Tifton, GA 31794 - Phone
- (912) 287-1515
- Fax
- (912) 287-1394
- Organisation at this address
- Tifton Radiology Pc
Southwell Ambulatory Inc
Tift Regional Medical Center
South Georgia Vascular Clinic
Tift Regional Health System IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 168
Registry record
- Primary taxonomy
- Diagnostic Radiology Physician
2085R0202X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-11-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia