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Contact Information

KENNESTONE HOSPITAL, INC
115 CHERRY ST NE
MARIETTA, GA30060-7205
 Phone: 470-644-0328
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for KENNESTONE HOSPITAL, INC

NPI Number 1275221095
LBN Legal business name KENNESTONE HOSPITAL, INC
Authorized official EBENEZER ERZUAH - (EXEC. DIRECTOR REIMBURSEMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/28/2023
Last updated 04/28/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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