Search › Georgia › 207Q00000X
Kenneth Jago, MD
NPI 1538133905 · on the registry since 2006 · sole proprietor
Practice
- Address
- 125 Oakside Ct Ste 101
Canton, GA 30114 - Phone
- (770) 479-3424
- Fax
- (770) 720-3454
- Organisation at this address
- Etowah Eye Clinic, P.C.
Renewal Wound Care Georgia LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-08-21
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