Individual
GENE SCOTT KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 HERON WALK, SAINT SIMONS ISLAND, GA 31522-2585
(912) 634-2651
(912) 634-2653
Mailing address
116 ASBURY ST, SAINT SIMONS ISLAND, GA 31522-2209
(912) 634-2651
(912) 634-2653
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
050645
GA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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