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Kaynessa Providence, M.D
NPI 1013303650 · on the registry since 2015 · sole proprietor
Practice
- Address
- 54 Tower Rd Ne
Marietta, GA 30060 - Phone
- (770) 427-4682
- Fax
- (770) 499-8562
- Organisation at this address
- Wellstar Medical Group, Llc
Wellstar Marietta Internal Medicine, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Additional practice sites
- 1325 Ralph David Abernathy Blvd Sw, Atlanta, GA
Registry record
- Primary taxonomy
- Internal Medicine Physician
207R00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-08-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia