Kennesaw Pediatrics

LBN: Kennesaw Pediatrics
Kennesaw Pediatrics is an health care organization with primary practice located at 3745 Cherokee St Nw Suite 401, Kennesaw GA 30144-6733. 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 Pediatrics can be contacted via phone (770) 429-1005, or through Long, Mark Anthony via phone (770) 429-1005.

Contact Information

Primary practice address
3745 Cherokee St Nw Suite 401 Kennesaw GA 30144-6733
Phone: (770) 429-1005
Fax: (770) 429-8005
Website:
Map and Directions
Authorized official contact:
Name: Long, Mark Anthony Doctor of Medicine (MD)
Phone: (770) 429-1005

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 0048265 Georgia

Profile Details

NPI number 1659565562
LBN Legal business name Kennesaw Pediatrics
DBA Doing business as
Authorized official Long, Mark Anthony Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 4th, 2007
Last updated Sep 4th, 2007 - about 17 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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