Organization
PRIKARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH WILLOUGHBY FOGARTY II M.D. (OWNER)
(770) 539-9600
Entity
Organization
Contact information
Practice address
2350 LIMESTONE PKWY, GAINESVILLE, GA 30501-2013
(770) 539-9600
(770) 539-9605
Mailing address
2350 LIMESTONE PKWY, GAINESVILLE, GA 30501-2013
(770) 539-9600
(770) 539-9605
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
041118
GA
Other
Enumeration date
06/21/2013
Last updated
05/15/2014
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