KENNESTONE FAMILY MEDICINE is a primary care clinic center in Marietta, GA. KENNESTONE FAMILY MEDICINE NPI is 1891234118. The provider is registered as an organization entity type.
The provider's business location address is:
72 PLAZA WAY NW
MARIETTA, GA
ZIP 30060-104
Phone: (770) 795-8070
The provider's authorized official is Sam Peng .
The authorized official title is Md and has the following contact phone number (770) 820-3855.
The CLIA number assigned to this NPI record is 11D2039890 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/20/2017 and was last updated on 2/20/2017.