Kennestone Heart Physicians Group

NPI 1003011776 - Internal Medicine - 207RC0000X

NPI Details
NPI 1003011776
Enumeration Date 06/20/2007
Last Updated 05/21/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KATIE M KATIE
Position MANAGER, PHYSICIAN SERVICES
Phone (706) 632-8008
Fax (706) 632-8070
Practice Location
101 RIVERSTONE VIS
SUITE 217
BLUE RIDGE GA, 30513-6648, US
Phone (706) 632-8008
Fax (706) 632-8070
Business Location
355 TOWER RD NE
SUITE 300
MARIETTA GA, 30060-9408, US
Phone (770) 426-4721
Fax (770) 424-0391
Toxanomy
Taxonomy Code 207RC0000X
License State Georgia
License Number 00058204
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According to our database, Kennestone Heart Physicians Group NPI is 1003011776, taxonomy code is 207RC0000X and license number is 00058204, license state is located at Georgia. Kennestone Heart Physicians Group physically located at 101 Riverstone Vis, Blue Ridge GA, 30513-6648. NPI Number 1033115704 has the healthcare provider type.

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1003011776 NPI number is provided on an as is basis without warranty of any kind. 1003011776 is maintained by the National Plan & Provider Enumeration System. The contents of Kennestone Heart Physicians Group are for informational purposes only.