| Organization Name: | KENNESTONE HEART PHYSICIANS GROUP |
| NPI Number: | 1003011776 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATIE M DOYLE (MANAGER, PHYSICIAN SERVICES) |
| Mailing Address: | 101 Riverstone Vis Suite 217 Blue Ridge |
| State: | GA US |
| Postal Code: | 305136648 |
| Phone Number: | 7066328008 |
| Fax Number: | 7066328070 |
| NPI Enumeration Date: | 06/20/2007 |
| NPI Last Update Date: | 05/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RC0000X |
| License Number: | 00058204 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Cardiovascular Disease |
| Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |