Individual
KENNETH JEFF CARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PHARMD
Contact information
Practice address
3193 HOWELL MILL RD NW STE 322, ATLANTA, GA 30327-2100
(470) 788-8379
Mailing address
955 CLIFTON RD NE, ATLANTA, GA 30307-1225
(404) 593-1176
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
050349
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00914966B
—
GA
Enumeration date
07/12/2006
Last updated
05/16/2022
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