Kennestone Family Medicine

LBN: Kennestone Family Medicine
Kennestone Family Medicine is an health care organization with primary practice located at 72 Plaza Way Nw , Marietta GA 30060-1104. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Kennestone Family Medicine can be contacted via phone (770) 795-8070, or through Peng, Sam via phone (770) 820-3855.

Contact Information

Primary practice address
72 Plaza Way Nw Marietta GA 30060-1104
Phone: (770) 795-8070
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Peng, Sam
Phone: (770) 820-3855

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X RN205404 Georgia

Profile Details

NPI number 1891234118
LBN Legal business name Kennestone Family Medicine
DBA Doing business as
Authorized official Peng, Sam
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2017
Last updated Feb 20th, 2017 - about 7 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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