Individual
MR. HOMARE MAX KUBAGAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
595 HURRICANE SHOALS ROAD NW, SUITE300, LAWRENCEVILLE, GA 30046
(770) 995-0823
(770) 995-7018
Mailing address
595 HURRICANE SHOALS ROAD NW, SUITE300, LAWRENCEVILLE, GA 30046
(770) 995-0823
(770) 995-7018
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
069848
GA
Other
Enumeration date
04/26/2010
Last updated
07/03/2018
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