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Individual

KENNETH L NORRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
631 PROFESSIONAL DR, SUITE 200, LAWRENCEVILLE, GA 30046-3367
(678) 312-3500
(678) 312-3529
Mailing address
PO BOX 116156, ATLANTA, GA 30368-6156
(470) 325-0100
(470) 325-0193

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
002268
GA

Other

Enumeration date
09/16/2006
Last updated
09/16/2020
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