Organization
KENNESTONE INTERNAL MEDICINE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENAE FORRESTER (OFFICE MANAGER)
(770) 419-7074
Entity
Organization
Contact information
Practice address
790 CHURCH ST NE, STE 325, MARIETTA, GA 30060-7282
(770) 419-7074
Mailing address
790 CHURCH ST NE, STE 325, MARIETTA, GA 30060-7282
(770) 419-7074
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/18/2007
Last updated
01/16/2013
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