Kennestone Internal Medicine Associates Pc

NPI 1093931800 - Internal Medicine - 207R00000X

NPI Details
NPI 1093931800
Enumeration Date 04/18/2007
Last Updated 01/16/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RENAE RENAE
Position OFFICE MANAGER
Phone (770) 419-7074
Fax
Practice Location
790 CHURCH ST NE
STE 325
MARIETTA GA, 30060-7282, US
Phone (770) 419-7074
Fax
Business Location
790 CHURCH ST NE
STE 325
MARIETTA GA, 30060-7282, US
Phone (770) 419-7074
Fax
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
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According to our database, Kennestone Internal Medicine Associates Pc NPI is 1093931800, taxonomy code is 207R00000X Kennestone Internal Medicine Associates Pc physically located at 790 Church St Ne, Marietta GA, 30060-7282. NPI Number 1033115704 has the healthcare provider type.

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1093931800 NPI number is provided on an as is basis without warranty of any kind. 1093931800 is maintained by the National Plan & Provider Enumeration System. The contents of Kennestone Internal Medicine Associates Pc are for informational purposes only.