Healthcare Provider Details

I. General information

NPI: 1780536730
Provider Name (Legal Business Name): SENOCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2026
Last Update Date: 02/12/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3060 PEACHTREE RD NW STE 140
ATLANTA GA
30305-2234
US

IV. Provider business mailing address

3060 PEACHTREE RD NW STE 140
ATLANTA GA
30305-2234
US

V. Phone/Fax

Practice location:
  • Phone: 470-749-9997
  • Fax: 470-749-9933
Mailing address:
  • Phone: 470-749-9997
  • Fax: 470-749-9933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. STANTON MARK MCKENNA
Title or Position: FOUNDER
Credential: MD
Phone: 504-451-5665