Individual
KENJI YOSHIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0006
(478) 538-0718
Mailing address
204 BRADFORD PL, MACON, GA 31210-1277
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17853
GA
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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