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Individual

DR. DWIGHT ALFRED MCLEISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
415 BARTOW ST, THOMASVILLE, GA 31792-6076
(229) 226-6116
(229) 226-6128
Mailing address
415 BARTOW ST., P.O. BOX 3027, THOMASVILLE, GA 31799-3027
(229) 226-6116
(229) 226-6128

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
047235
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
85002328G
GA
Enumeration date
11/08/2006
Last updated
06/27/2008
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