Organization
KENNA S. GIVEN, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNA GIVEN MD (FULL TIME MD)
(706) 721-2198
Entity
Organization
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2198
(706) 721-5748
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2602
(706) 724-6100
(706) 722-5187
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GPA764
—
SC
Enumeration date
12/07/2007
Last updated
12/07/2007
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