Wellstar Kenmar Pediatrics, LLC

NPI #1346296746 in Marietta, Georgia

Provider Information

NPI Number
1346296746
Entity Type
Organization
Organization Name
Wellstar Kenmar Pediatrics, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
WELLSTAR HEALTH SYSTEM, INC.
Primary Specialty
Pediatrics
Enumeration Date
May 26, 2006
Last Updated
Jul 14, 2008

Practice Location

Address
760 KENNESAW AVE NW
State
Georgia
ZIP Code
30060-6909
Phone
(770) 427-0183

Authorized Official

Name
NICOLE ASHE
Title
EXECUTIVE DIRECTOR OF FINANCE
Phone
(770) 792-5261

Specialties & Taxonomy Codes

Specialty
Pediatrics

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