Individual
PATRICK KINNEBREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 JOHNSON FY RD NE, ATLANTA, GA 30342-1606
(404) 851-8917
Mailing address
200 WILLOW CREEK LN APT 201, WOODSTOCK, GA 30188-7391
(256) 603-5440
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
76075
GA
Other
Enumeration date
04/22/2012
Last updated
08/08/2016
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