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Individual

DR. KENNETH JACKSON DELAY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1538 13TH AVE STE A, COLUMBUS, GA 31901-2544
(706) 323-4000
Mailing address
707 CENTER ST STE 110, COLUMBUS, GA 31901-1575

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
301759
LA
208800000X
Urology Physician
86376
GA
208800000X
Urology Physician
Primary
86892
SC
208800000X
Urology Physician
ME132919
FL

Other

Enumeration date
04/26/2010
Last updated
11/22/2021
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