Individual
KEVIN A BUDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5445 MERIDIAN MARKS RD, ATLANTA, GA 30342-4763
(404) 255-2419
(404) 591-2939
Mailing address
5445 MERIDIAN MARKS RD NE, ATLANTA, GA 30342-4763
(404) 255-2419
(404) 591-2939
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
067396
GA
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
067396
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202I188093
MEDICARE PTAN
GA
Enumeration date
06/23/2008
Last updated
03/05/2019
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