Individual
MRS. DANNA-GRACE WAGERS KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2200 MEDICAL CENTER BLVD STE 400, LAWRENCEVILLE, GA 30046-7769
(770) 758-7482
Mailing address
142 BRIX DR, LOCUST GROVE, GA 30248-2643
(770) 842-9133
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
12232
GA
Other
Enumeration date
03/20/2024
Last updated
12/29/2025
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