Individual
MR. DON CLEVELAND KILCREASE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
180 WATER OAK DR, CEDARTOWN, GA 30125-2095
(770) 748-0030
(770) 749-4418
Mailing address
180 WATER OAK DR, CEDARTOWN, GA 30125-2095
(770) 748-0030
(770) 749-4418
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN081457
GA
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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