Individual
WILLIAM KENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
215 MIMS RD, SYLVANIA, GA 30467-1994
(904) 805-1300
(904) 805-1302
Mailing address
PO BOX 532768, ATLANTA, GA 30353-2768
(904) 805-1300
(904) 805-1302
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9535
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029035
BLUE CROSS
GA
01
—
P00238322
RAILROAD MEDICARE
GA
Enumeration date
07/02/2006
Last updated
03/17/2008
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