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Kenneth Brooke Bingham, PA
Surgical Physician Assistant in Rome, Georgia
NPI 1770131104

Kenneth Brooke Bingham is a Surgical Physician Assistant based in Atlanta, GA and is specialized in Surgical. Kenneth Brooke Bingham practices in Rome, GA and has the professional credentials of PA. The NPI Number for Kenneth Brooke Bingham is 1770131104 and holds a License No. 9270 (Georgia).

The current practice location address for Kenneth Brooke Bingham is 100 Three Rivers Dr Ne Ste A, Rome, GA and can be reached out via phone at 709-292-0040 and via fax at 706-378-0556.

Location: 100 Three Rivers Dr Ne Ste A, Rome, GA, 30342-3091
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770131104
Provider Name
Kenneth Brooke Bingham
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
100 Three Rivers Dr Ne Ste A, Rome, GA, 30342-3091
Phone Number
709-292-0040
Fax Number
706-378-0556
Provider Enumeration Date
08/28/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Three Rivers Dr Ne Ste A
City
Rome
State
Georgia
Zip
30161-4999
Phone Number
709-292-0040
Fax Number
706-378-0556
person
Provider Business Mailing Address Details
Address
100 Three Rivers Dr Ne Ste A
City
Rome
State
Georgia
Zip
30161-4999
Phone Number
709-292-0040
Fax Number
706-378-0556
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
9270 (Georgia)
Definition
Definition to come...
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