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Individual

ROBERT K NAGUSZEWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
905 DIXIE ST, CARROLLTON, GA 30117-4417
(770) 812-5831
(770) 812-5832
Mailing address
119 AMBULANCE DR., SUITE 202, CARROLLTON, GA 30117-3856
(770) 838-8787

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
032792
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0004296684
GA
05
00429668C
GA
Enumeration date
12/05/2005
Last updated
12/17/2014
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