Search › Georgia › 207R00000X
Kenette St-Gourdin, MD
NPI 1619506557 · on the registry since 2020
Practice
- Address
- 631 Campbell Hill St Nw Ste 200
Marietta, GA 30060 - Phone
- (770) 727-4130
- Fax
- (770) 800-1334
- Organisation at this address
- Epitome Primary Care
Tariq Javed, M.D., P.C.
Sns Medical Equipment Llc
Marietta Center For Rehabilitation IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 208M00000X
390200000X - Licence states on file
- MO, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-12-04
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