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Contact Information

KELLY M DOUB, NNP-BC
2122 MANCHESTER EXPRESSWAY
COLUMBUS, GA31904
 Phone: 706-320-2773
 Fax: 706-596-4226
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal

363LN0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KELLY M DOUB · (Female)

NPI # 1700179900
Status Active
Credentials NNP-BC
Entity Individual
Enumeration date 05/20/2011
Last updated 08/01/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • GA License # RN226465
  • AL Medicaid 167215
  • GA Medicaid 003129046E
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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