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Individual

JOHN P KENDRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3527 N VALDOSTA RD, VALDOSTA, GA 31602-1068
(229) 247-2290
(229) 244-2626
Mailing address
3527 N VALDOSTA RD, VALDOSTA, GA 31602-1068
(229) 247-2290
(229) 244-2626

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
026883
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00327973B
GA
05
375260700
FL
Enumeration date
06/08/2005
Last updated
06/24/2008
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