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Individual

KUSH NIGAM PATHAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
665 DULUTH HWY STE 401, LAWRENCEVILLE, GA 30046-4303
(678) 312-0450
Mailing address
PO BOX 1190, LAWRENCEVILLE, GA 30046-1190

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
03/27/2024
Last updated
03/27/2024
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