Individual
EDWARD WYLLY KILLORIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1538 13TH AVENUE, BLD A, COLUMBUS, GA 31901
(706) 323-4000
(706) 323-4848
Mailing address
2300 MANCHESTER EXPY STE 2001A, COLUMBUS, GA 31904-6802
(706) 320-3126
(706) 320-3054
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
032219
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005420778
—
GA
Enumeration date
02/16/2006
Last updated
08/07/2024
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