Organization
DONALD F KENNEDY JR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD F KENNEDY II MD (MEDICAL DOCTOR)
(912) 427-7500
Entity
Organization
Contact information
Practice address
825 S 1ST ST, JESUP, GA 31545-0209
(912) 427-7500
(912) 427-0200
Mailing address
PO BOX 563, JESUP, GA 31598-0563
(912) 427-7500
(912) 427-0200
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24278
GA
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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