JACK WAYNE PENNINGTON

BLAIRSVILLE, GA
NPI1871676627
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: GA  015212)
Enumeration Date2006-10-23
Last Update Date2007-07-08
Business Address
Dr. JACK WAYNE PENNINGTON M.D.
207 HOSPITAL CIR SUITE A
BLAIRSVILLE, GA 30512-3128
Phone number: 706-745-5758
Mailing Address
Dr. JACK WAYNE PENNINGTON M.D.
207 HOSPITAL CIR SUITE A
BLAIRSVILLE, GA 30512-3128
Phone number: 706-745-5758
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