Kennedy, John Sargent
Kennedy, John Sargent is an individual health care provider with primary practice located at 2665 N Decatur Rd Suite 730, Decatur GA 30033-6149. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kennedy, John Sargent can be contacted via phone (404) 508-4320.Contact Information
Primary practice address
2665 N Decatur Rd Suite 730
Decatur GA 30033-6149
Phone: (404) 508-4320
Fax: (404) 508-4112
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 25193 | Georgia |
Profile Details
| NPI number | 1275526386 |
|---|---|
| LBN Legal business name | Kennedy, John Sargent |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275526386 | NPPES |
| Georgia | MEDICAID | 00280167C |
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