# KENDRICK FAMILY PRACTICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336276815
- **Authorized official:** DR. JANET L BIVENS M.D. (PRESIDENT)
- **Authorized official phone:** (770) 987-2155

## Contact information

- **Practice address:** 5900 HILLANDALE DRIVE, SUITE 300, LITHONIA, GA 30058
- **Practice address phone:** (770) 987-2155
- **Practice address fax:** (770) 323-2675
- **Mailing address:** 5900 HILLANDALE DRIVE, SUITE 300, LITHONIA, GA 30058
- **Mailing address phone:** (770) 987-2155
- **Mailing address fax:** (770) 323-2675

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 032410 | GA | Yes |

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 04/16/2013
