Organization
DR. KISSING OB & GYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMINIK KISSING M.D. (OWNER)
(770) 888-3102
Entity
Organization
Contact information
Practice address
5720 BUFORD HWY, 102, NORCROSS, GA 30071-2577
(770) 888-3102
(770) 212-2188
Mailing address
5720 BUFORD HWY, 102, NORCROSS, GA 30071-2577
(770) 888-3102
(770) 212-2188
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
64125
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003112332D
—
GA
Enumeration date
10/16/2013
Last updated
10/16/2013
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