Search › Georgia › 152W00000X
Kenneth Tennant, OD
NPI 1578542221 · on the registry since 2006
Practice
- Address
- 223 S Main St
Madison, GA 30650 - Phone
- (706) 343-1876
- Fax
- (706) 343-1877
- Organisation at this address
- Lee, Ellerman, And Associates, Od, Pc
Advanced Family Eyecare Of Madison, PcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-12-11
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