Individual
DR. JAMES R. KISSELBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M,D.
Contact information
Practice address
1900 TEBEAU STREET, WAYCROSS, GA 31501
(912) 338-6438
(912) 338-6439
Mailing address
1900 TEBEAU STREET, MAYO CLINIC HEALTH SYSTEM, WAYCROSS, GA 31501
(912) 338-6438
(912) 338-6439
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
76594
GA
Other
Enumeration date
04/29/2009
Last updated
08/19/2016
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