Individual
DR. KENNETH EARL HARPER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
556 3RD ST, MACON, GA 31201-7934
(478) 743-2472
(478) 743-1516
Mailing address
556 3RD ST, MACON, GA 31201-7934
(478) 743-2472
(478) 743-1516
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25983
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00293906A2
—
GA
01
—
581589893
TAX ID
GA
Enumeration date
04/13/2006
Last updated
07/08/2007
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