Individual
KENT B REMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1665 HIGHWAY 34 E, SUITE 100, NEWNAN, GA 30265-2404
(770) 252-7557
(770) 252-7513
Mailing address
1665 HIGHWAY 34 E, SUITE 100, NEWNAN, GA 30265-2404
(317) 815-7021
(317) 815-8951
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01055206A
IN
208VP0000X
Pain Medicine Physician
Primary
043462
GA
208VP0014X
Interventional Pain Medicine Physician
01055206A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200076860
—
IN
Enumeration date
03/02/2006
Last updated
07/20/2018
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