Hood, Fred Kennard
Hood, Fred Kennard is an individual health care provider with primary practice located at 65 Old Jackson Rd , Mcdonough GA 30252-3095. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hood, Fred Kennard can be contacted via phone (678) 490-0080.Contact Information
Primary practice address
65 Old Jackson Rd
Mcdonough GA 30252-3095
Phone: (678) 490-0080
Fax: (678) 490-0091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 45071 | Georgia |
Profile Details
| NPI number | 1043200884 |
|---|---|
| LBN Legal business name | Hood, Fred Kennard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2005 |
| Last updated | Feb 12th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043200884 | NPPES |
| Georgia | MEDICAID | 000819431A | |
| Georgia | Other | 0100102 | |
| Georgia | Other | 10033108 | |
| Georgia | Other | 52728647001 | |
| Georgia | Other | 8266 | |
| Georgia | Other | 1061050002 | |
| Georgia | Other | 314128 | |
| Georgia | Other | 080140397 |
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