Kenneth Genova, M.D.

NPI #1548239148 in Lagrange, Georgia

Provider Information

NPI Number
1548239148
Entity Type
Individual
Name
Kenneth Genova, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Credential
M.D.
Enumeration Date
Mar 16, 2006
Last Updated
May 16, 2008

Practice Location

Address
300 MEDICAL DR
Address 2
SUITE 705
State
Georgia
ZIP Code
30240-4155
Phone
(706) 885-0111

Specialties & Taxonomy Codes

Specialty
Specialist

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