Organization
KENNESAW WELLNESS
Active
Other names
Prime Health MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIRAJ PATEL MD (OWNER)
(804) 814-7666
Entity
Organization
Contact information
Practice address
745 CHASTAIN RD NW STE 1060, KENNESAW, GA 30144-3002
(770) 800-3353
(770) 575-8361
Mailing address
4505 ASHFORD DUNWOODY RD NE STE 15B, DUNWOODY, GA 30346-1516
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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