Provider Demographics
NPI:1194718718
Name:KENT, ALANA MARIA (MD)
Entity type:Individual
Prefix:DR
First Name:ALANA
Middle Name:MARIA
Last Name:KENT
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Gender:F
Credentials:MD
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Mailing Address - Street 1:14244 HIGHWAY 515 N
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ELLIJAY
Mailing Address - State:GA
Mailing Address - Zip Code:30536
Mailing Address - Country:US
Mailing Address - Phone:706-698-5433
Mailing Address - Fax:706-698-5445
Practice Address - Street 1:14244 HIGHWAY 515 N
Practice Address - Street 2:SUITE 100
Practice Address - City:ELLIJAY
Practice Address - State:GA
Practice Address - Zip Code:30536
Practice Address - Country:US
Practice Address - Phone:706-698-5433
Practice Address - Fax:706-698-5445
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2014-08-06
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Provider Licenses
StateLicense IDTaxonomies
GA051241207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000951783BMedicaid