William Kennedy Dolen in Augusta - Pediatric Allergy/immunology
William Kennedy Dolen - NPI 1649274630
William Kennedy Dolen is a Pediatric Allergy/immunology in Augusta, Georgia. William Kennedy Dolen practices all healthcare services and medical treatments related to Pediatric Allergy/immunology. The NPI Number for William Kennedy Dolen is 1649274630. The last update date is 2017-01-18.
William Kennedy Dolen's current location address is 1120 15th St, Augusta, Georgia. You can contact this provider via phone number 7077212390. The mailing address for William Kennedy Dolen is 1120 15th St, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William Kennedy Dolen |
|---|---|
| Address | 1120 15th St, Augusta, Georgia |
| Phone Number | 7077212390 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1649274630 |
|---|---|
| Provider Enumeration Date | 2005-06-08 |
| Last Updated Date | 2017-01-18 |
Provider Mailing Address Detail
| Address | 1120 15th St |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 3091200040 |
| Phone Number | 7077212390 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Allergy/immunology |
|---|---|
| Taxonomy | 2080P0201X |
| Licence No | 36137 |
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Definition: A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000515996A | GA | -- | |
| G08300 | SC | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to William Kennedy Dolen?
The William Kennedy Dolen has been issued the NPI (National Provider Identifier) 1649274630 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of William Kennedy Dolen?
The William Kennedy Dolen is physically situated at 1120 15Th St, in the city of Augusta, state of GA, with the postal code 3091200040.
What is the William Kennedy Dolen's specialty and taxonomy code?
The William Kennedy Dolen's specialty is Pediatric Allergy/immunology, and the corresponding taxonomy code is 2080P0201X.
On what date did the William Kennedy Dolen receive its 1649274630 assignment from the Centers for Medicare & Medicaid Services?
The William Kennedy Dolen was assigned its 1649274630 by the Centers for Medicare & Medicaid Services on 2005-06-08.
As of what date were the William Kennedy Dolen's details last updated?
The information pertaining to the William Kennedy Dolen, including its address, specialty, and other details, was most recently updated on 2017-01-18.