Individual
DR. BRYAN T KUMIGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
300 TOWER RD NE STE 200, MARIETTA, GA 30060
(770) 427-5717
Mailing address
300 TOWER RD NE STE 200, MARIETTA, GA 30060-9403
(770) 427-5717
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
078068
GA
208100000X
Physical Medicine & Rehabilitation Physician
250184
MA
208100000X
Physical Medicine & Rehabilitation Physician
35704
SC
208D00000X
General Practice Physician
254654-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300022345A
—
GA
Enumeration date
04/20/2011
Last updated
07/05/2018
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