| Kennestone Neurology Associates, P.c. | |
|
711 Canton Rd Ne Suite 210 Marietta GA 30060-8948 | |
| (770) 426-3977 | |
| (770) 421-8567 |
| Full Name | Kennestone Neurology Associates, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 711 Canton Rd Ne, Marietta, Georgia |
| Authorized Official Name and Position | David R Villasana (OWNER) |
| Authorized Official Contact | 7704263977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kennestone Neurology Associates, P.c. 711 Canton Rd Ne Suite 210 Marietta GA 30060-8948 Ph: (770) 426-3977 | Kennestone Neurology Associates, P.c. 711 Canton Rd Ne Suite 210 Marietta GA 30060-8948 Ph: (770) 426-3977 |
| NPI Number | 1346453008 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 09/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346453008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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