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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KENNESAW MOUNTAIN MEDICAL GROUP

Active Organization

KENNESAW MOUNTAIN MEDICAL GROUP is a Primary Care Clinic organization located in KENNESAW, Georgia. NPI 1235378324 is currently active in the NPPES registry. Verify at CMS.

Primary Care Clinic · KENNESAW, GA

Registration Details

NPI Number
1235378324
Provider Type
Organization
NPI Issued
Feb 12, 2009 (17.523485348631 yrs)
Last Updated
Feb 12, 2009
License
52992 (GA)

Practice Information

Address
1600 KENNESAW DUE WEST RD NW
BUILDING 600 SUITE 625
KENNESAW, GA, 301524301
Browse GA providers · Browse ZIP 30152
Phone
7704225880
Primary Specialty
Primary Care Clinic
261QP2300X

Other Primary Care Clinic Organizations in KENNESAW, GA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.