KENNETH ROBERT TENNANT

MADISON, GA
NPI1578542221
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: GA  2045)
Enumeration Date2006-01-11
Last Update Date2009-12-11
Business Address
Dr. KENNETH ROBERT TENNANT OD
223 S MAIN ST
MADISON, GA 30650-1351
Phone number: 706-343-1876
Mailing Address
Dr. KENNETH ROBERT TENNANT OD
223 S MAIN ST
MADISON, GA 30650-1351
Phone number: 706-343-1876