Kent, David E
Kent, David E is an individual health care provider with primary practice located at 308 Coliseum Dr Suite 200, Macon GA 31217-3876. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Kent, David E can be contacted via phone (478) 742-2180.Contact Information
Primary practice address
308 Coliseum Dr Suite 200
Macon GA 31217-3876
Phone: (478) 742-2180
Fax: (478) 745-2623
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 025625 | Georgia |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 025625 | Georgia |
Profile Details
| NPI number | 1194722850 |
|---|---|
| LBN Legal business name | Kent, David E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Oct 15th, 2020 - about 4 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 | 1194722850 | NPPES |
| Georgia | MEDICAID | 000283973D |
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