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Individual

KEVIN JOSPEH WACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
JD, MA, MTS

Contact information

Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 251-2597
Mailing address
2142 ELDORADO DR NE, ATLANTA, GA 30345-3415
(317) 363-8544

Taxonomy

Speciality
Code
Description
License number
State
174V00000X
Clinical Ethicist
Primary

Other

Enumeration date
07/31/2026
Last updated
07/31/2026
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