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John Sargent Kennedy, MD
Specialist in Decatur, Georgia
NPI 1275526386

John Sargent Kennedy is a Specialist based in Decatur, GA. John Sargent Kennedy practices in Decatur, GA and has the professional credentials of MD. The NPI Number for John Sargent Kennedy is 1275526386 and holds a License No. 25193 (Georgia).

The current practice location address for John Sargent Kennedy is 2665 N Decatur Rd, Decatur, GA and can be reached out via phone at 404-508-4320 and via fax at 404-508-4112.

Location: 2665 N Decatur Rd, Decatur, GA, 30033-6149
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275526386
Provider Name
John Sargent Kennedy
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2665 N Decatur Rd, Decatur, GA, 30033-6149
Phone Number
404-508-4320
Fax Number
404-508-4112
Provider Enumeration Date
08/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00280167C 05 GA
institution
Provider Business Practice Location Address Details
Address
2665 N Decatur Rd
City
Decatur
State
Georgia
Zip
30033-6149
Phone Number
404-508-4320
Fax Number
404-508-4112
person
Provider Business Mailing Address Details
Address
2665 N Decatur Rd
City
Decatur
State
Georgia
Zip
30033-6149
Phone Number
404-508-4320
Fax Number
404-508-4112
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
25193 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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