Individual
OMER KUCUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(405) 778-5903
Mailing address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(405) 778-5903
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301037887
MI
207RH0003X
Hematology & Oncology Physician
Primary
061470
GA
Other
Enumeration date
05/28/2006
Last updated
08/27/2008
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