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Kennesaw Mountain Medical Group
Primary Care Clinic/Center in Kennesaw, Georgia
NPI 1235378324

Kennesaw Mountain Medical Group is a Primary Care Clinic/Center based in Kennesaw, GA and is specialized in Primary Care. Kennesaw Mountain Medical Group practices in Kennesaw, GA. The NPI Number for Kennesaw Mountain Medical Group is 1235378324 and holds a License No. 52992 (Georgia).

The current practice location address for Kennesaw Mountain Medical Group is 1600 Kennesaw Due West Rd Nw, Kennesaw, GA and can be reached out via phone at 770-422-5880.

Location: 1600 Kennesaw Due West Rd Nw, Kennesaw, GA, 30152-4301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235378324
Provider Name
Kennesaw Mountain Medical Group
Credential
Provider Entity Type
Organization
Address
1600 Kennesaw Due West Rd Nw, Kennesaw, GA, 30152-4301
Phone Number
770-422-5880
Fax Number
Provider Enumeration Date
02/12/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1600 Kennesaw Due West Rd Nw
City
Kennesaw
State
Georgia
Zip
30152-4301
Phone Number
770-422-5880
Fax Number
person
Provider Business Mailing Address Details
Address
1600 Kennesaw Due West Rd Nw
City
Kennesaw
State
Georgia
Zip
30152-4301
Phone Number
770-422-5880
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
52992 (Georgia)
Definition
Definition to come...
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