Organization
KENNESTONE HEART PHYSICIANS GROUP
Active
Organization
KENNESTONE HEART PHYSICIANS GROUP
Active
Other names
Kennestone Heart Physicians Group
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE DOYLE (MANAGER, PHYSICIANS SERVICES)
(678) 797-4113
Entity
Organization
Contact information
Practice address
355 TOWER ROAD, SUITE 300, MARIETTA, GA 30060
(770) 426-4721
Mailing address
355 TOWER ROAD, SUITE 300, MARIETTA, GA 30060
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300025641K
—
GA
Enumeration date
05/25/2006
Last updated
04/10/2009
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