Individual
KELLEY B DOPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
980 JOHNSON FY RD NE, SUITE 720, ATLANTA, GA 30342-1626
(404) 252-3898
(404) 843-0719
Mailing address
980 JOHNSON FY RD NE, SUITE 720, ATLANTA, GA 30342-1626
(404) 252-3898
(404) 843-0719
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
025144
GA
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
25144
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00618626A
—
GA
01
—
16BDFCX127575
MEDICARE #
GA
01
—
D29324
UPIN #
GA
Enumeration date
04/10/2006
Last updated
01/29/2015
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