Individual
DR. DEBORAH ANN KOWALCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6335 HOSPITAL PKWY, SUITE 200, JOHNS CREEK, GA 30097-1549
(404) 575-4500
(404) 575-4555
Mailing address
6335 HOSPITAL PKWY, SUITE 200, JOHNS CREEK, GA 30097-1549
(404) 575-4500
(404) 575-4555
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
073800
GA
207X00000X
Orthopaedic Surgery Physician
241059
MA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Q0092
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003168359A
—
GA
Enumeration date
06/08/2009
Last updated
11/17/2015
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