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Individual

A. GEORGE KUDIRKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
535 JACK WARNER PKWY NE, SUITE B-1, TUSCALOOSA, AL 35404-5751
(205) 556-2121
(205) 554-0152
Mailing address
535 JACK WARNER PKWY NE, SUITE B-1, TUSCALOOSA, AL 35404-5751
(205) 556-2121
(205) 554-0152

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11373
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
529202430
AL
Enumeration date
07/13/2006
Last updated
09/28/2010
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