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1124226568
KENNETH L. SMITH
AUGUSTA, GA
NPI
1124226568
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: GA 000725)
Enumeration Date
2007-07-06
Last Update Date
2007-07-08
Business Address
Mr. KENNETH L. SMITH PA-C
1120 15TH ST NEPHROLOGY DIVISION, MEDICAL COLLEGE OF GA, BA-9413
AUGUSTA, GA 30912-0004
Phone number: 706-721-2861
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Mailing Address
Mr. KENNETH L. SMITH PA-C
4208 FAIRFIELD CIR
EVANS, GA 30809-3628
Phone number: 706-650-9552
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