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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