Individual
JUILETT KOSTANJEVEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
665 DULUTH HWY STE 401, LAWRENCEVILLE, GA 30046
(678) 312-0400
Mailing address
11315 JOHNS CREEK PKWY, STE 340, JOHNS CREEK, GA 30097-2646
(678) 312-0400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
88660
GA
Other
Enumeration date
03/27/2018
Last updated
09/03/2021
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