Individual
DR. KEVIN A ONEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1181 LANGFORD DR, BLDG 100 STE 101, BOGART, GA 30622-2542
(706) 546-9838
(706) 546-9347
Mailing address
1181 LANGFORD DR, BLDG 100 STE 101, BOGART, GA 30622-2542
(706) 546-9838
(706) 546-9347
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042378
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000752353B
—
GA
Enumeration date
06/28/2006
Last updated
04/25/2014
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