Individual
MR. ROBERT MARTIN MCKENNA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
5667 PEACHTREE DUNWOODY RD, NE, SUITE 350, ATLANTA, GA 30342-1725
(404) 252-7200
(404) 252-7397
Mailing address
5667 PEACHTREE DUNWOODY RD, NE, SUITE 350, ATLANTA, GA 30342-1725
(404) 252-7200
(404) 252-7397
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
A676
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0033PA
—
SC
Enumeration date
06/22/2006
Last updated
08/12/2008
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