Dr. William Kennedy Dolen
M.D. | Pediatric Allergy-Immunology | Male
Dr. William Kennedy Dolen, M.D. is a Augusta, Georgia based Pediatric doctor with medical specialization in
Pediatric Allergy-Immunology.
Current practice location of Dr. William Kennedy Dolen is
1120 15th St, Augusta, Georgia - 30912-0004. He can be contacted on phone at
707-721-2390.
Dr. William Kennedy Dolen is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. William Kennedy Dolen is
1649274630 which was assigned by NPPES on 08 Jun, 2005 and it was last updated on 18 Jan, 2017.
Dr. William Kennedy Dolen license number is
036137 for Pediatrics Pediatric Allergy/Immunology (2080P0201X) in Georgia.
Dr. William Kennedy Dolen specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
Complete Profile:
Dr. William Kennedy Dolen basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Allergy/Immunology |
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| Provider Name : | Dr. William Kennedy Dolen |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. William Kennedy Dolen address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1120 15th St
Augusta, GA, 30912-0004
United States |
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| Phone Number : | 707-721-2390 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1649274630 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 08 Jun, 2005 |
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| Last Updated On : | 18 Jan, 2017 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. William Kennedy Dolen are as mentioned. Primary taxonomy code for Dr. William Kennedy Dolen, M.D. is
2080P0201X (Pediatrics Pediatric Allergy/Immunology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207K00000X | Allergy & Immunology | No | 036137 | GA |
| 2080P0201X | Pediatrics Pediatric Allergy/Immunology | Yes | 036137 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. William Kennedy Dolen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000515996A | MEDICAID | GA | |
| G08300 | MEDICAID | SC | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1499 Walton Way, Suite 1400
Augusta, GA, 30901-2602
United States |
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| Phone Number : | 706-828-8402 |
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Business Location:
Patients can refer following map for directions to
Dr. William Kennedy Dolen practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.