Individual
ABHIYAN JUNG BISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
129 MCCOOK WAY NW, KENNESAW, GA 30144-3161
(404) 405-6426
Mailing address
129 MCCOOK WAY NW, KENNESAW, GA 30144-3161
(404) 405-6426
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13844
GA
Other
Enumeration date
06/12/2022
Last updated
06/12/2022
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