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Individual

DR. KEVIN A. AULT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-4646
Mailing address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-4646

Taxonomy

Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
56403
GA

Other

Enumeration date
06/21/2006
Last updated
07/08/2007
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