Individual
MR. MACK HENRY KENNEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
406 ROYAL CREST CIR, KATHLEEN, GA 31047-2169
(770) 374-7110
Mailing address
103 COLLETON DR, ATHENS, GA 30606-7831
(706) 206-2964
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
052745615
GA
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
About Stedi
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