KENETTE ST-GOURDIN, MD

NPI: 1619506557 · Individual · Active

Primary Specialty

Internal Medicine Physician
Internal Medicine

Practice Location

631 CAMPBELL HILL ST NW STE 200
MARIETTA, GA 30060-1390 Map ↗
Phone: 770-727-4130
Fax: 770-800-1334

All Specialties & Licenses

  • Internal Medicine Physician Primary (license: 96398, GA)
  • Hospitalist Physician (license: 2023049186, MO)
  • Student in an Organized Health Care Education/Training Program

HIE Endpoints

  • FHIR: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

NPI Registration

Enumerated: 2020-04-03

Last CMS Update: 2024-12-04