Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Kennestone Internal Medicine Associates PC

Organization Internal Medicine Physician · NPI 1093931800

Kennestone Internal Medicine Associates PC provides Internal Medicine Physician services in Marietta, Georgia. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

790 Church St NE Ste 325
Marietta, GA 30060-7282 Not confirmed with CMS for 13 years — call before visiting
Phone: (770) 419-7074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1093931800
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Renae Forrester — Office Manager · (770) 419-7074
NPI enumeratedApril 18, 2007
Last updated in NPPESJanuary 16, 2013
Mailing address790 Church St Ne, Ste 325, Marietta, GA 30060-7282

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