| Kennestone Hospital, Inc | |
|
303 Parkway Dr Ne Ste 500 Atlanta GA 30312-1212 | |
| (470) 956-4981 | |
| Not Available |
| Full Name | Kennestone Hospital, Inc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 303 Parkway Dr Ne Ste 500, Atlanta, Georgia |
| Authorized Official Name and Position | Jim Budzinski (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Contact | 4706440012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kennestone Hospital, Inc 1800 Parkway Pl Se Ste 500 Marietta GA 30067-8237 Ph: (470) 956-4981 | Kennestone Hospital, Inc 303 Parkway Dr Ne Ste 500 Atlanta GA 30312-1212 Ph: (470) 956-4981 |
| NPI Number | 1689361438 |
|---|---|
| Provider Enumeration Date | 04/21/2023 |
| Last Update Date | 04/21/2023 |
| Certification Date | 04/21/2023 |
| Medicare PECOS PAC ID | 3870490816 |
|---|---|
| Medicare Enrollment ID | O20230207002661 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689361438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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