Organization
KIGGA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON KERN (DIRECTOR OF OPERATIONS)
(772) 281-7682
Entity
Organization
Contact information
Practice address
310 GOLD CREEK TRL STE 100, WOODSTOCK, GA 30188-5436
(770) 637-6004
Mailing address
310 GOLD CREEK TRL STE 100, WOODSTOCK, GA 30188-5436
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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