Organization
KENNESTONE HOSPITAL, INC
Active
Other names
Wellstar Pharmacy Network
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EBENEZER ERZUAH (EXEC. DIRECTOR REIMBURSEMENT)
(470) 956-4981
Entity
Organization
Contact information
Practice address
115 CHERRY ST NE, MARIETTA, GA 30060-7205
(470) 644-0328
Mailing address
793 SAWYER RD, MARIETTA, GA 30062-2222
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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