Organization
ETOWAH REGIONAL MEDICAL SERVICES PC
Active
Other names
MEDICAL ASSOCIATES OF NORTH GEORGIA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN V KELLOGG (EXECUTIVE DIRECTOR)
(770) 479-5535
Entity
Organization
Contact information
Practice address
320 HOSPITAL RD, CANTON, GA 30114-2432
(770) 479-5535
(770) 479-8821
Mailing address
320 HOSPITAL RD, CANTON, GA 30114-2432
(770) 479-5535
(770) 479-8821
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207VG0400X
Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208D00000X
General Practice Physician
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
08/25/2006
Last updated
09/11/2025
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