Individual
GUIRSHNEY SAMARAH KENOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
777 HEMLOCK STREET LN # 165, MACON, GA 31201-2168
(478) 633-1634
Mailing address
777 HEMLOCK STREET LN # 165, MACON, GA 31201-2168
(478) 633-1634
(478) 633-1578
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15918
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
03/25/2024
Last updated
06/13/2024
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