Individual
DR. KARUNA KUSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1960 RIVERSIDE PKWY, SUITE 101, LAWRENCEVILLE, GA 30043-5945
(770) 995-0466
(770) 995-0472
Mailing address
1960 RIVERSIDE PKWY, SUITE 101, LAWRENCEVILLE, GA 30043-5945
(770) 995-0466
(770) 995-0472
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
056582
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
356333517B
—
GA
Enumeration date
07/29/2006
Last updated
07/23/2012
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