Wellstar Kennestone Ob/gyn 2, LLC

NPI #1497701874 in Marietta, Georgia

Provider Information

NPI Number: 1497701874
Entity Type: Organization
Organization Name: Wellstar Kennestone Ob/gyn 2, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: WELLSTAR HEALTH SYSTEM, INC.
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: May 26, 2006
Last Updated: Jul 14, 2008

Practice Location

Address: 818 CHURCH ST NE
City: Marietta
State: Georgia
ZIP Code: 30060-8969
Phone: (770) 793-9750

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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