Organization · Type 2 NPI
Kennesaw Wellness
Adult Medicine Physician · Kennesaw, GA
NPI number
1184304404
Active
Practice location
745 Chastain Rd NW Ste 1060
Kennesaw, GA 30144-3002
Fax (770) 575-8361
Mailing address
4505 Ashford Dunwoody Rd NE Ste 15B
Dunwoody, GA 30346-1516
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | None listed |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
Another provider at this address
Other adult medicine physician providers in Kennesaw
About NPI 1184304404
Kennesaw Wellness's National Provider Identifier is 1184304404, issued on Jul 21, 2023. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Kennesaw, GA. The record was last updated on Jul 21, 2023.