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Organization

C.M. KINNARD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER M. KINNARD MD (PHYSICIAN/OWNER)
(478) 287-6574
Entity
Organization

Contact information

Practice address
1118 HIGHWAY 96 WEST, SUITE 1, KATHLEEN, GA 31047
(478) 287-6574
(478) 287-6579
Mailing address
1118 HIGHWAY 96 WEST, SUITE 1, KATHLEEN, GA 31047
(478) 287-6574
(478) 287-6579

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
68822
GA

Other

Enumeration date
10/30/2012
Last updated
10/30/2012
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