KENNETH E. DINELLA MD LLC
Psychiatric at Elm Ave, Americus, GA

License number
Georgia 036716
Category
Psychiatric
Type
Psychiatry
Owner
Name: DR. KENNETH EDWARD DINELLA M.D.
Title: AUTHORIZED OFFICIAL
Phone: (229) 928-8868
Address
Address
1120 Elm Ave, Americus, GA 31709
National Provider ID: 1750625364
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KENNETH E. DINELLA, M.D., LLC

1120 Elm Ave, Americus, GA 31709

Registration:
Aug 18, 2004
State ID:
0449477
Business type:
Domestic Limited Liability Company
Agent:
Kenneth Dinella,1120 Elm Ave, Americus, GA (Physical)

Psychiatric licenses in Georgia




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