Individual
MR. FREDERICK W JENNART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
212 HOSPITAL DR, STE N, WARNER ROBINS, GA 31088
(478) 922-6698
(478) 922-4558
Mailing address
212 HOSPITAL DR, STE N, WARNER ROBINS, GA 31088
(478) 922-6698
(478) 922-4558
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
033365
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00425653A
—
GA
Enumeration date
08/15/2006
Last updated
07/08/2007
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