Executive Medical Practice LLC
Executive Medical Practice LLC is a Physical Medicine & Rehabilitation Physician in Marietta, Georgia. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1455 Bells Ferry Rd Ste 100Marietta, GA 30066-6078
Phone: (770) 421-8094
Fax: (770) 421-8096
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Medicine & Rehabilitation Physician (primary) | Taxonomy 208100000X |
|---|
Record details
| NPI number | 1265136923 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rashelle Fox — Creditialing · (404) 664-2997 |
| NPI enumerated | March 28, 2023 |
| Last updated in NPPES | August 21, 2023 |
| Certification date | August 21, 2023 |
| Mailing address | 1455 Bells Ferry Rd Ste 100, Marietta, GA 30066-6078 |
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Dr. Ken Gordon Knott, MD
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