Individual
ANDREW NATHAN KOBYLIVKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 MOUNT ZION PKWY, KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER, JONESBORO, GA 30236-2500
(404) 321-6111
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 364-7070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
059861
GA
207RC0000X
Cardiovascular Disease Physician
Primary
059861
GA
Other
Enumeration date
08/25/2007
Last updated
01/07/2022
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