Kennesaw Mountain Medical Group
LBN: Kennesaw Mountain Medical Group
Kennesaw Mountain Medical Group is an health care organization with primary practice located at 1600 Kennesaw Due West Rd Nw Building 600 Suite 625, Kennesaw GA 30152-4301. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty.
Kennesaw Mountain Medical Group can be contacted via phone (770) 422-5880, or through Matechak, Gregory J via phone (770) 422-5880.
Contact Information
Primary practice address
1600 Kennesaw Due West Rd Nw Building 600 Suite 625
Kennesaw GA 30152-4301
Phone: (770) 422-5880
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 52992 | Georgia |
Profile Details
NPI number | 1235378324 |
---|---|
LBN Legal business name | Kennesaw Mountain Medical Group |
DBA Doing business as | |
Authorized official | Matechak, Gregory J |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Feb 12th, 2009 |
Last updated | Feb 12th, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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