Individual
KEVIN D LANCLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
551 N CHEROKEE RD, SOCIAL CIRCLE, GA 30025-2887
(770) 787-6900
(770) 787-6962
Mailing address
551 N CHEROKEE RD, SOCIAL CIRCLE, GA 30025-2887
(770) 787-6900
(770) 787-6962
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
47109
GA
Other
Enumeration date
07/07/2005
Last updated
05/01/2017
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