Individual
KENNETH MURRAY DEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
232 CHEROKEE ROAD, THOMASTON, GA 30286
(706) 647-8138
(706) 647-8745
Mailing address
232 CHEROKEE ROAD, THOMASTON, GA 30286
(706) 647-8138
(706) 647-8745
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
048999
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000896695A
—
GA
01
—
0872710001
PALMETTO
GA
01
—
180041451
RR MEDICARE
GA
Enumeration date
08/31/2006
Last updated
12/18/2014
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