Kenneth D Deaton JR., M.D.

NPI #1124062187 in Macon, Georgia

Provider Information

NPI Number
1124062187
Entity Type
Individual
Name
Kenneth D Deaton JR., M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Credential
M.D.
Enumeration Date
Jun 16, 2006
Last Updated
Dec 22, 2014

Practice Location

Address
800 1ST ST
Address 2
SUITE 410
City
Macon
State
Georgia
ZIP Code
31201-8300
Phone
(478) 743-7068

Specialties & Taxonomy Codes

Specialty
Specialist

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