Individual
ALAN R KOORNICK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 JOHNSON FERRY RD NE, ATLANTA, GA 30342-1606
(404) 851-8000
Mailing address
PO BOX 100015, KENNESAW, GA 30156-9215
(770) 779-2175
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
022576
GA
Other
Enumeration date
02/15/2006
Last updated
07/08/2007
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