KENNETH GENOVA

LAGRANGE, GA
NPI1548239148
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: GA  036977)
Enumeration Date2006-03-16
Last Update Date2008-05-16
Business Address
-- KENNETH GENOVA M.D.
300 MEDICAL DR SUITE 705
LAGRANGE, GA 30240-4155
Phone number: 706-885-0111
Mailing Address
-- KENNETH GENOVA M.D.
300 MEDICAL DR SUITE 705
LAGRANGE, GA 30240-4155
Phone number: 706-885-0111
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