Organization
WELLSTAR SURGICAL ASSOCIATES OF MARIETTA
Active
Organization
WELLSTAR SURGICAL ASSOCIATES OF MARIETTA
Active
Other names
Wellstar Hospital Kennestone
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANITA JOYCE JOHNSON NP (NURSE PRACTITIONER)
(770) 428-0462
Entity
Organization
Contact information
Practice address
55 WHITCHER ST NE STE 130, MARIETTA, GA 30060-1156
(770) 428-0462
(770) 428-0462
Mailing address
195 APPLEWOOD LN, ACWORTH, GA 30101-2625
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
RN175391
GA
Other
Enumeration date
04/15/2014
Last updated
04/16/2014
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