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1891234118
KENNESTONE FAMILY MEDICINE
MARIETTA, GA
NPI
1891234118
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Entity Type
Organization
Authorized Contact
SAM PENG
Md
770-820-3855
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center Primary Care
(Licence: GA RN205404)
Enumeration Date
2017-02-20
Last Update Date
2017-02-20
Business Address
KENNESTONE FAMILY MEDICINE
72 PLAZA WAY NW
MARIETTA, GA 30060-1104
Phone number: 770-795-8070
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Mailing Address
KENNESTONE FAMILY MEDICINE
72 PLAZA WAY NW
MARIETTA, GA 30060-1104
Phone number: 770-795-8070
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