Individual
DR. GREGORY JAMES JURKOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.HD.
Contact information
Practice address
1513 JOHNSON FERRY RD, SUITE T-1, MARIETTA, GA 30062-8101
(770) 578-1744
Mailing address
1506 WILLOW BND, WOODSTOCK, GA 30188-4640
(404) 401-1778
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0627
GA
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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