Organization
KENNESTONE MEDICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SABOHI ATHAR (AO)
(470) 945-4277
Entity
Organization
Contact information
Practice address
1290 KENNESTONE CIR BLDG A101-B, MARIETTA, GA 30066-6009
(470) 945-4277
Mailing address
1290 KENNESTONE CIR BLDG A101-B, MARIETTA, GA 30066-6009
(470) 945-4277
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/01/2023
Last updated
08/20/2024
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