Vivian N Kenmoe
SOUTHLAND TAYLOR HOSPITALIST GROUP, LLC


Address: 222 Perry Hwy, Hawkinsville, GA 31036-6748
Phone: 2292004950

Vivian N Kenmoe (NPI# 1265694921, PAC ID# 2668648387) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1265694921
PAC ID by PECOS 2668648387
Professional Enrollment ID I20140124000352
Full Name Vivian N Kenmoe
Organization Legal Name SOUTHLAND TAYLOR HOSPITALIST GROUP, LLC
Address 222 Perry Hwy
Hawkinsville
GA 31036-6748
Phone Number 2292004950
Gender F
Medical School NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduation Year 2008
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 6800015959
Number of Group Practice Members 3
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
110135 TAYLOR REGIONAL HOSPITAL
111302 BLECKLEY MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
222 Perry Hwy, Hawkinsville, GA 31036-6748 2292004950 SOUTHLAND TAYLOR HOSPITALIST GROUP, LLC

Organization Information

Organization Legal Name SOUTHLAND TAYLOR HOSPITALIST GROUP, LLC
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
William Joseph Kolhoff Internal Medicine Southland Taylor Hospitalist Group, LLC 222 Perry Hwy, Hawkinsville, GA 31036-6748

Office Location

Street Address 222 PERRY HWY
City HAWKINSVILLE
State GA
Zip 31036-6748

Physicians in the same location

Name Specialty Organization Address
Cecil S Little Psychiatry Taylor Regional Hospital 222 Perry Hwy, Hawkinsville, GA 31036-6748
John H Washington Jr. Emergency Medicine Southland Hawkinsville Emergency Medical Services, LLC 222 Perry Hwy, Hawkinsville, GA 31036-6748
Helen E Carrington Emergency Medicine Southland Hawkinsville Emergency Medical Services, LLC 222 Perry Hwy, Hawkinsville, GA 31036-6748
Jessica L Newby Nurse Practitioner Taylor Regional Hospital 222 Perry Hwy, Hawkinsville, GA 31036-6748
Gary M Williams Cardiovascular Disease (cardiology) 222 Perry Hwy, Pulaski Professional Bldg B, Hawkinsville, GA 31036-0600
Robert Campbell General Surgery Taylor Regional Hospital 222 Perry Hwy, Hawkinsville, GA 31036-6748
Guy T Easterling Internal Medicine Taylor Regional Hospital 222 Perry Hwy, Hawkinsville, GA 31036-6748
Akinlolu A Omitowoju Emergency Medicine Southland Hawkinsville Emergency Medical Services, LLC 222 Perry Hwy, Hawkinsville, GA 31036-6748
Catherine K Dickens Family Medicine Southland Hawkinsville Emergency Medical Services, LLC 222 Perry Hwy, Hawkinsville, GA 31036-6748
William C Cirillo Internal Medicine Southland Hawkinsville Emergency Medical Services, LLC 222 Perry Hwy, Hawkinsville, GA 31036-6748
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Minoo H Hollis Orthopedic Surgery Taylor Regional Hospital 42 Truman Rd, Hawkinsville, GA 31036-4644
Vundyala V Reddy Medical Oncology Nsh Cancer Institute Professional Services G LLC 214 Perry Hwy, Hawkinsville, GA 31036-6748
Kimberli E Carpenter Anesthesiology Taylor Regional Hospital 145 E Peacock St, Ste4, Cochran, GA 31036-6748
Alexander C Ibezi-enendu Family Medicine Taylor Regional Hospital 145 E Peacock St, Ste4, Cochran, GA 31036-6748
Holly G Howell Nurse Practitioner Taylor Regional Hospital 145 E Peacock St, Ste4, Cochran, GA 31036-6748
Bailey Lanier Nurse Practitioner Taylor Regional Hospital 145 E Peacock St, Ste4, Cochran, GA 31036-6748
Michele T Edwards Internal Medicine Taylor Regional Hospital 145 E Peacock St, Ste4, Cochran, GA 31036-6748
Michele S Scarborough Nurse Practitioner Taylor Regional Hospital 145 E Peacock St, Ste4, Cochran, GA 31036-6748
Edith M Morgan Nurse Practitioner Nsh Cancer Institute Professional Services G LLC 214 Perry Hwy, Hawkinsville, GA 31036-6748
Michael R Nulph Emergency Medicine Taylor Regional Hospital 145 E Peacock St, Ste4, Cochran, GA 31036-6748
Find all physicians in zip 31036

Competitor

Search similar physicians

City HAWKINSVILLE
Zip Code 31036
Specialty INTERNAL MEDICINE
City + Specialty HAWKINSVILLE + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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