Individual
BADER NIZAR KASHLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3747 ROSWELL RD STE 107, MARIETTA, GA 30062-6227
(470) 956-0150
Mailing address
3747 ROSWELL RD STE 107, MARIETTA, GA 30062-6227
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3896
TN
207Q00000X
Family Medicine Physician
83276
GA
Other
Enumeration date
03/20/2017
Last updated
01/30/2023
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