| Wellstar Kennesaw Medical Center, Llc | |
|
3805 Cherokee St Nw Kennesaw GA 30144-2085 | |
| (770) 426-5666 | |
| (770) 426-9212 |
| Full Name | Wellstar Kennesaw Medical Center, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3805 Cherokee St Nw, Kennesaw, Georgia |
| Authorized Official Name and Position | Nicole Ashe (EXECUTIVE DIRECTOR OF FINANCE) |
| Authorized Official Contact | 7707925261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellstar Kennesaw Medical Center, Llc 3805 Cherokee St Nw Kennesaw GA 30144-2085 Ph: (770) 426-5666 | Wellstar Kennesaw Medical Center, Llc 3805 Cherokee St Nw Kennesaw GA 30144-2085 Ph: (770) 426-5666 |
| NPI Number | 1912953621 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 07/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912953621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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