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Individual

DR. LARAINE KENDALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4460 GARMON RD NW, ATLANTA, GA 30327-3830
(404) 312-0897
Mailing address
4460 GARMON RD NW, ATLANTA, GA 30327-3830
(404) 312-0897

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
030117
GA

Other

Enumeration date
04/24/2008
Last updated
04/24/2008
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