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Individual

DR. KIRBY WATSON PEDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
420 E 2ND AVE, SUITE 103, ROME, GA 30161-3209
(706) 509-3278
Mailing address
420 E 2ND AVE, SUITE 103, ROME, GA 30161-3209
(706) 509-3278

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
046208
GA

Other

Enumeration date
12/28/2006
Last updated
03/29/2010
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