Organization
GENE S. KENNEDY M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARION ELAINE KENNEDY (TREASURER/SECRETARY)
(912) 634-2651
Entity
Organization
Contact information
Practice address
101 HERON WALK, ST SIMONS ISLAND, GA 31522-2585
(912) 634-2651
(912) 634-2653
Mailing address
PO BOX 20647, ST SIMONS ISLAND, GA 31522-0247
(912) 634-2651
(912) 634-2653
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
050645
GA
Other
Enumeration date
04/15/2013
Last updated
08/05/2013
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