Individual
GLENN KASOW
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2179 NORTHLAKE PARKWAY, STE 109, TUCKER, GA 30084
(770) 491-9400
(770) 491-9402
Mailing address
2179 NORTHLAKE PARKWAY, STE 109, TUCKER, GA 30084
(770) 491-9400
(770) 491-9402
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
14149
GA
Other
Enumeration date
05/23/2006
Last updated
07/08/2007
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