Individual
JOHN SMITH KIRKLAND JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
796 N DIVISION ST NW, ROME, GA 30165-1404
(762) 235-3760
(706) 232-4131
Mailing address
221 TECHNOLOGY PKWY NW, ROME, GA 30165-1369
(762) 235-1000
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
015480
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000155438A
—
GA
05
—
000155438G
—
GA
Enumeration date
12/15/2006
Last updated
04/27/2020
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