Kennestone Heart Physicians Group, Pc

LBN: Kennestone Heart Physicians Group, Pc
Kennestone Heart Physicians Group, Pc is an health care organization with primary practice located at 2513 Shallowford Rd Building 100, Marietta GA 30066-6809. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Kennestone Heart Physicians Group, Pc can be contacted via phone (770) 516-3500, or through Doyle, Katie via phone (678) 797-4113.

Contact Information

Primary practice address
2513 Shallowford Rd Building 100 Marietta GA 30066-6809
Phone: (770) 516-3500
Fax: (770) 516-3660
Website:
Map and Directions
Authorized official contact:
Name: Doyle, Katie
Phone: (678) 797-4113

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 131843 Georgia

Profile Details

NPI number 1285877274
LBN Legal business name Kennestone Heart Physicians Group, Pc
DBA Doing business as
Authorized official Doyle, Katie
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2009
Last updated Aug 4th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285877274 NPPES
Georgia Other GRP938 MEDICAR PTAN
Georgia MEDICAID 300025641K MEDICAR PTAN

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