Kennesaw Mountain Medical Group
Kennesaw Mountain Medical Group is a Primary Care Clinic/Center in Kennesaw, Georgia. Licensed in Georgia. Registered with an NPI since 2009.
- Licensed in
- GA
- In the registry since
- 2009
Practice location Address checks out
1600 Kennesaw Due West Rd NW Bldg 600 Ste 625Kennesaw, GA 30152-4301
Phone: (770) 422-5880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence 52992 (GA) |
|---|
Record details
| NPI number | 1235378324 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gregory Matechak — Physician · (770) 422-5880 |
| NPI enumerated | February 12, 2009 |
| Last updated in NPPES | February 12, 2009 |
| Mailing address | 1600 Kennesaw Due West Rd Nw, Building 600 Suite 625, Kennesaw, GA 30152-4301 |
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-
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Stepping Stone Pediatrics, LLC
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