Provider Demographics
NPI:1790061604
Name:SOKAR KENDOR MD PC
Entity Type:Organization
Organization Name:SOKAR KENDOR MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD PC
Authorized Official - Prefix:
Authorized Official - First Name:SOKAR
Authorized Official - Middle Name:
Authorized Official - Last Name:KENDOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:478-453-1020
Mailing Address - Street 1:530 NORTH COBB STREET
Mailing Address - Street 2:
Mailing Address - City:MILLEDGEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31061-2635
Mailing Address - Country:US
Mailing Address - Phone:478-453-1020
Mailing Address - Fax:478-453-1093
Practice Address - Street 1:530 NORTH COBB STREET
Practice Address - Street 2:
Practice Address - City:MILLEDGEVILLE
Practice Address - State:GA
Practice Address - Zip Code:31061-2635
Practice Address - Country:US
Practice Address - Phone:478-453-1020
Practice Address - Fax:478-453-1093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-25
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA051486208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty