Individual
DR. JOHN MICHAEL FENNESSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
303 PARKWAY DRIVE, NE, ATLANTA, GA 30312
(404) 265-1579
Mailing address
714 MEDLOCK ROAD, DECATUR, GA 30033
(404) 321-9497
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
058957
GA
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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