Individual
THOMAS WILLIAM KIERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 724-6100
Mailing address
1499 WALTON WAY, SUITE 1400, AUGUSTA, GA 30901-2602
(706) 724-6100
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
033998
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000959208A
—
GA
05
—
G33998
—
SC
Enumeration date
08/24/2006
Last updated
09/19/2014
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