Individual
DR. MATTIE ELIZABETH KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1469 LANEY WALKER BLVD, AUGUSTA, GA 30912-0002
(706) 721-2423
Mailing address
2110 PICKENS ST APT 401, COLUMBIA, SC 29201-2783
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17657
GA
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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