Kennestone Internal Medicine Associates PC

NPI #1093931800 in Marietta, Georgia

Provider Information

NPI Number
1093931800
Entity Type
Organization
Organization Name
Kennestone Internal Medicine Associates PC
Primary Specialty
Internal Medicine
Enumeration Date
Apr 18, 2007
Last Updated
Jan 16, 2013

Practice Location

Address
790 CHURCH ST NE
Address 2
STE 325
State
Georgia
ZIP Code
30060-7282
Phone
(770) 419-7074

Authorized Official

Name
RENAE FORRESTER
Title
OFFICE MANAGER
Phone
(770) 419-7074

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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