Organization
KENNESTONE NEUROLOGY ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID R VILLASANA M.D. (OWNER)
(770) 426-3977
Entity
Organization
Contact information
Practice address
711 CANTON RD NE, SUITE 210, MARIETTA, GA 30060-8948
(770) 426-3977
(770) 421-8567
Mailing address
711 CANTON RD NE, SUITE 210, MARIETTA, GA 30060-8948
(770) 426-3977
(770) 421-8567
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
05/08/2007
Last updated
09/08/2010
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