Individual
DR. EMBRY MAYES KENDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1962 OLD GROVELAND RD, PEMBROKE, GA 31321-3340
(912) 225-1929
(912) 225-1929
Mailing address
PO BOX 490, PEMBROKE, GA 31321-0490
(912) 225-1929
(912) 225-1929
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1222
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00728725A
—
GA
Enumeration date
02/17/2006
Last updated
03/29/2016
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