Vein Specialists Of The South

NPI 1861760027 - Physician Assistant - 363AS0400X

NPI Details
NPI 1861760027
Enumeration Date 12/02/2011
Last Updated 12/02/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name KENNETH E KENNETH
Position OWNER AND PHYSICIAN
Phone (478) 743-2472
Fax (478) 743-1516
Practice Location
556 3RD ST
MACON GA, 31201-7934, US
Phone (478) 743-2472
Fax (478) 743-1516
Business Location
556 3RD ST
MACON GA, 31201-7934, US
Phone (478) 743-2472
Fax (478) 743-1516
Toxanomy
Taxonomy Code 363AS0400X
License State
License Number
Remove 1861760027 NPI Number
 

According to our database, Vein Specialists Of The South NPI is 1861760027, taxonomy code is 363AS0400X Vein Specialists Of The South physically located at 556 3rd St, Macon GA, 31201-7934. NPI Number 1033115704 has the healthcare provider type.

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1861760027 NPI number is provided on an as is basis without warranty of any kind. 1861760027 is maintained by the National Plan & Provider Enumeration System. The contents of Vein Specialists Of The South are for informational purposes only.