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Organization
KENNESAW STATE UNIVERSITY
Active
Organization
KENNESAW STATE UNIVERSITY
Active
Other names
Kennewaw State University Student Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN WOLFE (PROCUREMENT MANAGER)
(770) 420-4355
Entity
Organization
Contact information
Practice address
1000 CHASTAIN RD NW, MD5200 HOUSE 52, KENNESAW, GA 30144-5588
(770) 423-6644
(770) 499-3655
Mailing address
1000 CHASTAIN RD NW, MD5200 HOUSE 52, KENNESAW, GA 30144-5588
(770) 423-6644
(770) 499-3655
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/26/2013
Last updated
04/02/2013
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