KENNETH BOSTIC

FORT STEWART, GA
NPI1043360597
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  003528)
Enumeration Date2007-01-10
Last Update Date2021-02-23
Business Address
Mr. KENNETH BOSTIC PA-C
1061 HARMON AVE WINN ARMY COMMUNITY HOSPITAL STE1D03
FORT STEWART, GA 31314-5641
Phone number: 912-435-5254
Mailing Address
Mr. KENNETH BOSTIC PA-C
1061 HARMON AVE WINN ARMY COMMUNITY HOSPITAL STE1D03
FORT STEWART, GA 31314-5641
Phone number: 912-435-5254
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