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Individual

DR. KERRY A NEISES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
914 VISTA DRIVE, DALTON, GA 30721-8654
(706) 226-3139
(706) 278-6606
Mailing address
914 VISTA DRIVE, DALTON, GA 30721-8654
(706) 226-3139
(706) 278-6606

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43720
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000755532B
GA
Enumeration date
07/07/2005
Last updated
08/19/2024
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