Hood, Fred Kennard

Hood, Fred Kennard is an individual health care provider with primary practice located at 65 Old Jackson Rd , Mcdonough GA 30252-3095. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hood, Fred Kennard can be contacted via phone (678) 490-0080.

Contact Information

Primary practice address
65 Old Jackson Rd Mcdonough GA 30252-3095
Phone: (678) 490-0080
Fax: (678) 490-0091
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 45071 Georgia

Profile Details

NPI number 1043200884
LBN Legal business name Hood, Fred Kennard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Feb 12th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043200884 NPPES
Georgia MEDICAID 000819431A
Georgia Other 0100102
Georgia Other 10033108
Georgia Other 52728647001
Georgia Other 8266
Georgia Other 1061050002
Georgia Other 314128
Georgia Other 080140397

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