Individual
CALLIE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4526
(770) 719-7000
Mailing address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-5000
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
6385
GA
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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