Kenneth C Holbrook (NPI# 1194790139, PAC ID# 6002976156) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1194790139 |
| PAC ID by PECOS | 6002976156 |
| Professional Enrollment ID | I20081119000130 |
| Full Name | Kenneth C Holbrook |
| Organization Legal Name | RESURGENS, PC |
| Address |
270 Chastain Nwrd Kennesaw GA 30144-3012 |
| Phone Number | 7704218005 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2002 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1153224142 |
| Number of Group Practice Members | 147 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110143 | WELLSTAR COBB HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5671 Peachtree Dunwoody Rd Ne, Suite 900 950, Atlanta, GA 30342-5022 | 4048479999 | RESURGENS, PC |
| 270 Chastain Nwrd, Kennesaw, GA 30144-3012 | 7704218005 | RESURGENS, PC |
| Organization Legal Name | RESURGENS, PC |
| Physicians | 152 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Trevor Kolski | Physician Assistant | Resurgens, PC | 3698 Largent Nw Way, Ste103, Marietta, GA 30064-5923 |
| Stephanie M Wordes | Physician Assistant | Resurgens, PC | 1495 Hickory Flat Hwy, Suite 200, Canton, GA 30115-4229 |
| Brooks W Ficke | Orthopedic Surgery | Resurgens, PC | 1285 Hembree Rd, 200a, Roswell, GA 30076-4995 |
| Angela E Cochran | Nurse Practitioner | Resurgens, PC | 105 Regency Park Dr, Mcdonough, GA 30253-6649 |
| Bennett D Grimm | Orthopedic Surgery | Resurgens, PC | 61 Whitcher Nest, Marietta, GA 30060-1142 |
| Chealon D Miller | Orthopedic Surgery | Resurgens, PC | 3211 Iris Dr, Covington, GA 30316 |
| Scott A Kelly | Physical Medicine and Rehabilitation | Resurgens, PC | 1336 Hwy 54 W, Fayetteville, GA 30214-4535 |
| Jason D Grabrovac | Physician Assistant | Resurgens, PC | 5671 Peachtree Dunwoody Rd Ne, Suite 900 950, Atlanta, GA 30342-5022 |
| Roderica E Cottrell | Physical Medicine and Rehabilitation | Resurgens, PC | 6635 Lake Dr, Morrow, GA 30260-2354 |
| Raymond C Hui | Orthopedic Surgery | Resurgens, PC | 758 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-3385 |
| Street Address |
270 CHASTAIN NWRD |
| City | KENNESAW |
| State | GA |
| Zip | 30144-3012 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Raymond Jeffords | Orthopedic Surgery | Resurgens, PC | 270 Chastain Nwrd, Kennesaw, GA 30144-3012 |
| Steven B Wertheim | Orthopedic Surgery | Resurgens, PC | 270 Chastain Nwrd, Kennesaw, GA 30144-3012 |
| Glenn J Jonas | Hand Surgery | Resurgens, PC | 270 Chastain Nwrd, Kennesaw, GA 30144-3012 |
| Phani Kumar Dantuluri | Hand Surgery | Resurgens, PC | 270 Chastain Nwrd, Kennesaw, GA 30144-3012 |
| Erroll J Bailey | Orthopedic Surgery | Resurgens, PC | 270 Chastain Nwrd, Kennesaw, GA 30144-3012 |
| Julie E Levine | Physical Medicine and Rehabilitation | Resurgens, PC | 270 Chastain Nwrd, Kennesaw, GA 30144-3012 |
| Evander F Fogle | Orthopedic Surgery | Resurgens, PC | 270 Chastain Nwrd, Kennesaw, GA 30144-3012 |
| Michael J Clark | Orthopedic Surgery | Resurgens, PC | 270 Chastain Nwrd, Kennesaw, GA 30144-3012 |
| Brian Z Makhuli | Orthopedic Surgery | Resurgens, PC | 270 Chastain Nwrd, Kennesaw, GA 30144-3012 |
| Mark W. Hanna | Orthopedic Surgery | Resurgens, PC | 270 Chastain Nwrd, Kennesaw, GA 30144-3012 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lorena Jesus | Chiropractic | 501 Roberts Nwct, Kennesaw, GA 30144 | |
| Justin M Tinsley | Chiropractic | 2710 Town Ctr Dr Nw, Suite 104, Kennesaw, GA 30144 | |
| Amy L Reich | Chiropractic | Big Idea Family Chiropractic Center | 3450 Acworth Due W Nwrd, Suite 330, Kennesaw, GA 30144-1002 |
| Lucy Gomez Rosenberg | Chiropractic | 3450 Acworth Due W Nw Rd, Suite 330, Kennesaw, GA 30144-1002 | |
| Michael Miller | Podiatry | 3450 Acworth Due W Rd Nw, Suite 320, Kennesaw, GA 30144-1002 | |
| Steven H Bailey | Hand Surgery | Crawford Plastic Surgery | 3450 Acworth Due W Rd, Bldg 200 Suite 220, Kennesaw, GA 30144-1078 |
| Marcus H Crawford | Plastic and Reconstructive Surgery | Crawford Plastic Surgery | 3450 Acworth Due W Rd, Bldg 200 Suite 220, Kennesaw, GA 30144-1078 |
| Jered M Hull | Chiropractic | 3400 Blue Springs Nwrd, Suite 100, Kennesaw, GA 30144-1079 | |
| Stephen K Green | Chiropractic | 4200 Wade Green Rd, Suite 204, Kennesaw, GA 30144-1237 | |
| Jill G Sebaugh | Clinical Social Worker | 4255 Wade Green Rd, Suite 414, Kennesaw, GA 30144-1244 | |
| Find all physicians in zip 30144 | |||
| City | KENNESAW |
| Zip Code | 30144 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | KENNESAW + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kenneth C Holbrook.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.