Organization
KENNA S GIVEN, MD, PC
Active
Other names
MCG Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
KENNA S. GIVEN (CEO)
(706) 446-5978
Entity
Organization
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-6945
Mailing address
1499 WALTON WAY, SUITE 1400, AUGUSTA, GA 30901-2602
(706) 724-6100
(706) 722-5187
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
013847
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000132943
—
GA
01
—
1437114725
INDIVIDUAL NPI
—
Enumeration date
09/04/2008
Last updated
09/29/2016
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