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Organization
KENNESTONE HOSPITAL, INC
Active
Organization
KENNESTONE HOSPITAL, INC
Active
Other names
WellStar Kennestone Hospital Inpatient Rehab Unit
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY J BUDZINSKI (EVP & CHIEF FINANCIAL OFFICER)
(470) 644-0012
Entity
Organization
Contact information
Practice address
677 CHURCH ST NE, INPATIENT REHAB UNIT/6 WEST, MARIETTA, GA 30060-1101
(470) 644-0012
(770) 793-7939
Mailing address
1800 PARKWAY PL SE STE 500, MARIETTA, GA 30067-8237
(470) 956-4981
(770) 999-2489
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
033-548
GA
273Y00000X
Rehabilitation Hospital Unit
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000001119A
—
GA
Enumeration date
10/24/2005
Last updated
10/31/2024
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