Wellstar Kennesaw State University Student Health Services | |
3215 Campus Loop Rd Nw Kennesaw GA 30144-3227 | |
(470) 578-6531 | |
(470) 578-9004 |
Full Name | Wellstar Kennesaw State University Student Health Services |
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Speciality | Clinic/center - Student Health |
Location | 3215 Campus Loop Rd Nw, Kennesaw, Georgia |
Authorized Official Name and Position | Nicole Ashe (EXECUTIVE DIRECTOR OF FINANCE) |
Authorized Official Contact | 4706440095 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wellstar Kennesaw State University Student Health Services 3215 Campus Loop Rd Nw Kennesaw GA 30144-3227 Ph: (470) 578-6531 | Wellstar Kennesaw State University Student Health Services 3215 Campus Loop Rd Nw Kennesaw GA 30144-3227 Ph: (470) 578-6531 |
NPI Number | 1790100170 |
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Provider Enumeration Date | 02/21/2014 |
Last Update Date | 05/27/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790100170 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QS1000X | Clinic/center - Student Health | (Georgia) | Primary |
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