KENNA S GIVEN, MD, PC
Radiology at 15 St, Augusta, GA

License number
Georgia 013847
Category
Radiology
Type
Plastic and Reconstructive Surgery
Owner
Name: KENNA S. GIVEN
Title: CEO
Phone: (706) 446-5978
Address
Address
1120 15Th St, Augusta, GA 30912
National Provider ID: 1942458740
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KENNA S. GIVEN, M.D., PC

748 Tripps Ct, Augusta, GA 30909

Registration:
May 29, 2001
State ID:
0124984
Business type:
Domestic Professional Corporation
CEOs:
S. Kenna Given (Secretary), 1467 Harper St Hb 5040, Augusta, GA 30901 (Physical),Sidney Kenna Given (CEO), 1467 Harper St Hb 5040, Augusta, GA 30901 (Physical)
Agent:
Kenna S. Given, Md, Pc,1467 Harper St Hb 5040, Augusta, GA (Physical)

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