Individual
KENNY M FRONTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2470 MOUNT ZION PKWY, DEPARTMENT OF GASTROENTEROLOGY, JONESBORO, GA 30236-2500
(770) 603-3822
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 364-7000
(404) 364-4732
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
035417
GA
207RG0100X
Gastroenterology Physician
035417
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000506547A
—
GA
Enumeration date
07/21/2005
Last updated
01/13/2022
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