Organization
HARPER & ASSOCIATES FAMILY MEDICINE, P.C.
Active
Other names
Kenneth Harper, MD
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH HARPER MD (PRESIDENT)
(678) 418-2120
Entity
Organization
Contact information
Practice address
5910 HILLANDALE DRIVE, SUITE 301, LITHONIA, GA 30058
(678) 418-2120
(678) 418-2936
Mailing address
P.O. BOX 856, LITHONIA, GA 30058
(678) 418-2120
(678) 418-2936
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
035182
GA
207Q00000X
Family Medicine Physician
055830
GA
363A00000X
Physician Assistant
004798
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004798
AMBROZINE TRENTJOHNNEY PA
GA
05
—
00794912C
—
GA
05
—
170986344A
—
GA
Enumeration date
01/25/2007
Last updated
06/25/2009
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