Individual
DR. KENNETH TEOPACO FIGUEROA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2885 CHURCH STREET, EAST POINT, GA 30344
(404) 767-1997
(404) 767-1019
Mailing address
2885 CHURCH ST, EAST POINT, GA 30344
(404) 767-1997
(404) 767-1019
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
038755
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00624313D
—
GA
Enumeration date
10/26/2006
Last updated
07/08/2007
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