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Sheila Kennedy, MD
Student in an Organized Health Care Education/Training Program in Lawrenceville, Georgia
NPI 1013148626

Sheila Kennedy is a Student in an Organized Health Care Education/Training Program based in Lithonia, GA. Sheila Kennedy practices in Lawrenceville, GA and has the professional credentials of MD. The NPI Number for Sheila Kennedy is 1013148626 and holds a License No. 68227 (Georgia).

The current practice location address for Sheila Kennedy is 1430 Five Forks Trickum Rd St 220, Lawrenceville, GA and can be reached out via phone at 678-578-4983 and via fax at 678-578-4988. You can also correspond with Sheila Kennedy through the mailing address at 2491 PANOLA RD, LITHONIA, GA - 30058-4831 (mailing address contact number: 678-205-4999).

Location: 1430 Five Forks Trickum Rd St 220, Lawrenceville, GA, 30058-4831
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013148626
Provider Name
Sheila Kennedy
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1430 Five Forks Trickum Rd St 220, Lawrenceville, GA, 30058-4831
Phone Number
678-578-4983
Fax Number
678-578-4988
Provider Enumeration Date
07/30/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003140093B 05 GA
003140093A 05 GA
institution
Provider Business Practice Location Address Details
Address
1430 Five Forks Trickum Rd St 220
City
Lawrenceville
State
Georgia
Zip
30044-8182
Phone Number
678-578-4983
Fax Number
678-578-4988
person
Provider Business Mailing Address Details
Address
2491 Panola Rd
City
Lithonia
State
Georgia
Zip
30058-4831
Phone Number
678-205-4999
Fax Number
678-205-4969
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
(New Jersey)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
68227 (Georgia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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