Kaynessa Providence, MD

INTERNAL MEDICINE

805 Sandy Plains Rd

Marietta, GA 300666340

**NPI:** 1013303650

**Med School:** OTHER

**Experience:** 11 years

**Telehealth:** No

**Medicare Assignment:** Yes

Practice Locations (3)

805 Sandy Plains Rd
Marietta, GA 300666340

Phone:

**Group ID:** | **Group Size:** members

720 Westview Dr Sw
Atlanta, GA 303101458

Phone:

**Group ID:** | **Group Size:** members

500 W Jefferson St, Suite 2310
Louisville, KY 402022881

Phone:

**Group ID:** | **Group Size:** members

WELLSTAR KENNESTONE REGIONAL MEDICAL CENTER Type: Hospital
677 CHURCH STREET
Phone: (770) 793-5000
Medicare CCN: 110035 View Profile

WELLSTAR COBB MEDICAL CENTER Type: Hospital
3950 AUSTELL RD
Phone: (770) 732-4000
Medicare CCN: 110143 View Profile

Long-term care hospital Type: Long-term care hospital
Medicare CCN: 112007 View Profile

Nursing home Type: Nursing home
Medicare CCN: 115422 View Profile

Nursing home Type: Nursing home
Medicare CCN: 115504 View Profile

Home health agency Type: Home health agency
Medicare CCN: 117067 View Profile

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.

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