Individual
DR. CAMERON CALDWELL KERSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
717 20TH ST, COLUMBUS, GA 31904-8920
(706) 653-0292
(706) 653-1230
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(706) 494-3008
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
00025498
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
793905377J
—
GA
01
—
P00882624
RR MEDICARE
GA
Enumeration date
02/27/2007
Last updated
06/04/2020
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