Charles Dennis Kellum in Macon - Diagnostic Radiology
Charles Dennis Kellum - NPI 1285624692
Charles Dennis Kellum is a Diagnostic Radiology in Macon, Georgia. Charles Dennis Kellum practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Charles Dennis Kellum is 1285624692. The last update date is 2014-07-03.
Charles Dennis Kellum's current location address is 770 Pine St Ste 290, Macon, Georgia. You can contact this provider via phone number 4787431458 and fax number 4787551332. The mailing address for Charles Dennis Kellum is 770 Pine St Ste 290, Macon, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Dennis Kellum |
|---|---|
| Address | 770 Pine St Ste 290, Macon, Georgia |
| Phone Number | 4787431458 |
| Fax Number | 4787551332 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1285624692 |
|---|---|
| Provider Enumeration Date | 2005-10-26 |
| Last Updated Date | 2014-07-03 |
Provider Mailing Address Detail
| Address | 770 Pine St Ste 290 |
|---|---|
| City | Macon |
| State | Georgia (GA) |
| Post Code | 312017516 |
| Phone Number | 4787431458 |
| Fax Number | 4787551332 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 2933 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000342141C | GA | -- |
Post Comment/ Review Below
What is the Charles Dennis Kellum's unique identification number?
The Charles Dennis Kellum has been assigned the NPI (National Provider Identifier) Number 1285624692 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Charles Dennis Kellum is geographically located?
The Charles Dennis Kellum is physically situated at the following location: 770 Pine St Ste 290, Macon, GA, 312017516.
What is Charles Dennis Kellum's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Charles Dennis Kellum is Diagnostic Radiology, and the taxonomy code that categorizes this field of expertise is 2085R0202X.
When was the Charles Dennis Kellum's 1285624692 issued?
The Charles Dennis Kellum's 1285624692 was issued on 2005-10-26.
As of what date were the Charles Dennis Kellum's details last updated?
The information pertaining to the Charles Dennis Kellum, including its address, specialty, and other details, was most recently updated on 2014-07-03.
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