Individual
KENNETH J DOOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 TREE LN, STE 330, SNELLVILLE, GA 30078-6782
(404) 256-2593
(678) 547-1494
Mailing address
2835 BRANDYWINE RD, #300, ATLANTA, GA 30341-5540
(770) 488-9202
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
016901
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00014638C
—
GA
Enumeration date
05/11/2006
Last updated
07/08/2007
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