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1396725214
KENNETH W FOGARTY
GAINESVILLE, GA
NPI
1396725214
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 041118)
Enumeration Date
2006-01-18
Last Update Date
2013-07-16
Business Address
-- KENNETH W FOGARTY MD
2350 LIMESTONE PKWY
GAINESVILLE, GA 30501-2013
Phone number: 770-539-9600
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Mailing Address
-- KENNETH W FOGARTY MD
PO BOX 908653
GAINESVILLE, GA 30501-0926
Phone number: 770-539-9600
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