Organization
KENNESTONE HEART PHYSICIANS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE M DOYLE (MANAGER, PHYSICIAN SERVICES)
(678) 797-1113
Entity
Organization
Contact information
Practice address
101 RIVERSTONE VIS, SUITE 217, BLUE RIDGE, GA 30513-6648
(706) 632-8008
(706) 632-8070
Mailing address
355 TOWER RD NE, SUITE 300, MARIETTA, GA 30060-9408
(770) 426-4721
(770) 424-0391
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
00058204
GA
Other
Enumeration date
06/20/2007
Last updated
05/21/2009
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