Kenneth S Jago is a Family Medicine in Canton, Georgia. Kenneth S Jago practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kenneth S Jago is 1538133905. The last update date is 2019-08-21.
Kenneth S Jago's current location address is 125 Oakside Ct Ste 101, Canton, Georgia. You can contact this provider via phone number 7704793424 and fax number 7707203454. The mailing address for Kenneth S Jago is 125 Oakside Ct Ste 101, Canton, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth S Jago |
|---|---|
| Address | 125 Oakside Ct Ste 101, Canton, Georgia |
| Phone Number | 7704793424 |
| Fax Number | 7707203454 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1538133905 |
|---|---|
| Provider Enumeration Date | 2006-02-14 |
| Last Updated Date | 2019-08-21 |
Provider Mailing Address Detail
| Address | 125 Oakside Ct Ste 101 |
|---|---|
| City | Canton |
| State | Georgia (GA) |
| Post Code | 30114 |
| Phone Number | 7704793424 |
| Fax Number | 7707203454 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 29476 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00380575C | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kenneth S Jago by the Centers for Medicare & Medicaid Services?
The Kenneth S Jago has been issued the NPI (National Provider Identifier) 1538133905, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kenneth S Jago?
The Kenneth S Jago is physically situated at 125 Oakside Ct Ste 101, in the city of Canton, state of GA, with the postal code 30114.
What is Kenneth S Jago's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kenneth S Jago is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
When was the Kenneth S Jago's 1538133905 issued?
The Kenneth S Jago's 1538133905 was issued on 2006-02-14.
As of what date were the details related to Kenneth S Jago most recently updated or revised?
The information pertaining to Kenneth S Jago, including its address, specialty, and other relevant details, was last updated or revised on 2019-08-21.