Individual
KENNETH M EUGENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
423 S. COLUMBIA AVENUE, RINCON, GA 31326-1399
(912) 826-8860
(912) 826-2813
Mailing address
602 E 72ND ST, SAVANNAH, GA 31405-4913
(912) 819-7878
(912) 819-7850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
GA035866
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003153414A
—
GA
01
—
80042556
RAILROAD PROVIDER NUMBER
GA
Enumeration date
12/20/2006
Last updated
02/28/2017
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