| Kelley P Douglas, MD | |
|
901 18th St E, Tifton, GA 31794-3648 | |
| (912) 287-1515 | |
| (912) 287-1394 |
| Full Name | Kelley P Douglas |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 901 18th St E, Tifton, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184617474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 033957 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelley P Douglas, MD 901 18th St E, Tifton, GA 31794-3648 Ph: (912) 287-1515 | Kelley P Douglas, MD 901 18th St E, Tifton, GA 31794-3648 Ph: (912) 287-1515 |
Raymond C Evans, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 912-287-1515 Fax: 912-287-1394 | |
Wesley W Walker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1623 Madison Ave, Tifton, GA 31794 Phone: 229-386-1300 | |
Patrick T Crimmins, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2225 Us Highway 41 N, Tifton, GA 31794 Phone: 229-391-4100 Fax: 229-391-4508 | |
Robin A Stoecker, D.O. Radiology Medicare: Not Enrolled in Medicare Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 912-287-1515 Fax: 912-287-1394 | |
Wayne T Stewart, MD Radiology Medicare: Medicare Enrolled Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 912-287-1515 Fax: 912-287-1394 |