Kenneth Genova, MD - Lagrange, GA

Kenneth Genova, MD

Specialist in Lagrange, Georgia

NPI 1548239148

Kenneth Genova is a Specialist based in Lagrange, GA. Kenneth Genova practices in Lagrange, GA and has the professional credentials of MD. The NPI Number for Kenneth Genova is 1548239148 and holds a License No. 036977 (Georgia).

The current practice location address for Kenneth Genova is 300 Medical Dr, Lagrange, GA and can be reached out via phone at 706-885-0111 and via fax at 706-885-0607.

Location: 300 Medical Dr, Lagrange, GA, 30240-4155

NPI Number

1548239148

Provider Name

Kenneth Genova

Credential

Provider Entity Type

Individual

Gender

Male

Address

300 Medical Dr, Lagrange, GA, 30240-4155

Phone Number

706-885-0111

Fax Number

706-885-0607

Provider Enumeration Date

03/16/2006

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
00542055A	05	GA

Address

300 Medical Dr

City

Lagrange

State

Georgia

Zip

30240-4155

Phone Number

706-885-0111

Fax Number

706-885-0607

Address

300 Medical Dr

City

Lagrange

State

Georgia

Zip

30240-4155

Phone Number

706-885-0111

Fax Number

706-885-0607

Type

Other Service Providers

Classification

Specialist

Speciality

Taxonomy

174400000X

License No.

036977 (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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