Search › Georgia › 183500000X
Gary Kennedy
NPI 1316284003 · on the registry since 2013
Practice
- Address
- 108 Pavilion Pkwy
Fayetteville, GA 30214 - Phone
- (770) 460-4106
- Fax
- (770) 716-0674
- Organisation at this address
- Publix Super Markets Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-01-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia