Individual
DR. WILLIAM KENNEDY DOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(707) 721-2390
Mailing address
1499 WALTON WAY, SUITE 1400, AUGUSTA, GA 30901-2602
(706) 828-8402
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
036137
GA
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
036137
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000515996A
—
GA
05
—
G08300
—
SC
Enumeration date
06/08/2005
Last updated
01/18/2017
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