KENNETH BROOKE BINGHAM

ROME, GA
NPI1770131104
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: GA  9270)
Enumeration Date2019-08-28
Last Update Date2019-10-10
Business Address
KENNETH BROOKE BINGHAM PA
100 THREE RIVERS DR NE STE A
ROME, GA 30161-4999
Phone number: 709-292-0040
Mailing Address
KENNETH BROOKE BINGHAM PA
4600 ROSWELL RD UNIT 515
ATLANTA, GA 30342-3091
Phone number:
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