KENNESAW HEALTHCARE SERVICES, LLC

KENNESAW, GA
NPI1811531460
Entity TypeOrganization
Authorized ContactALAN COOPER FOLSOM
Member
229-242-0953
Organization Subpart ?No
Primary Taxonomy261QM2800X Clinic/Center Methadone
Enumeration Date2019-11-06
Last Update Date2019-11-06
Business Address
KENNESAW HEALTHCARE SERVICES, LLC
1735 TUSCAN HEIGHTS BLVD NW STE 116
KENNESAW, GA 30152-6800
Phone number: 229-242-0953
Mailing Address
KENNESAW HEALTHCARE SERVICES, LLC
2935 N ASHLEY ST STE 114
VALDOSTA, GA 31602-1788
Phone number: 229-242-0953
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