Provider First Line Business Practice Location Address:
WELLSTAR KENNESTONE HOSPITAL
Provider Second Line Business Practice Location Address:
115 CHERRY STREET
Provider Business Practice Location Address City Name:
MARIETTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30060
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-793-5700
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/15/2019