Individual provider · Type 1 NPI

Andrea M. Kennedy

Surgical Physician Assistant · Snellville, GA

NPI number 1083120588 Active

Practice location

1700 Medical Way
Snellville, GA 30078-2195

Call (770) 979-0200 Map

Mailing address

2311 Ridge Forest Dr
Grayson, GA 30017-1718

Other practice locations

  • 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 · (678) 312-1000

Specialties and licenses

TaxonomyCodeLicense
Surgical Assistant 246ZC0007XNone listed
Surgical Physician Assistant Primary 363AS0400X175866 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1083120588

Andrea M. Kennedy's National Provider Identifier is 1083120588, issued on Dec 19, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Snellville, GA. The record was last updated on Dec 27, 2021.