Organization
FREDERICK W. JENNART DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK W JENNART DO (PHYSICIAN)
(478) 922-6698
Entity
Organization
Contact information
Practice address
212 HOSPITAL DRIVE, SUITE N, WARNER ROBINS, GA 31088-4294
(478) 922-6698
(478) 922-4558
Mailing address
212 HOSPITAL DRIVE, SUITE N, WARNER ROBINS, GA 31088-4294
(478) 922-6698
(478) 922-4558
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
—
Other
Enumeration date
05/07/2007
Last updated
04/10/2019
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