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1578542221
KENNETH ROBERT TENNANT
MADISON, GA
NPI
1578542221
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: GA 2045)
Enumeration Date
2006-01-11
Last Update Date
2009-12-11
Business Address
Dr. KENNETH ROBERT TENNANT OD
223 S MAIN ST
MADISON, GA 30650-1351
Phone number: 706-343-1876
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Mailing Address
Dr. KENNETH ROBERT TENNANT OD
223 S MAIN ST
MADISON, GA 30650-1351
Phone number: 706-343-1876
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