Individual
TINA M KENT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
314 E LEE ST, THOMASTON, GA 30286-4122
(706) 647-7148
Mailing address
1667 WAYMANVILLE RD, THOMASTON, GA 30286-5072
(706) 647-5232
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN073124
GA
Other
Enumeration date
08/26/2005
Last updated
07/08/2007
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