Individual
KRISTOPHER NICHOLAS URBANOVITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1670 CLAIRMONT RD # 508121, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
3018 KENTMERE DR, CUMMING, GA 30040-1220
(770) 371-8030
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
131
GA
224P00000X
Prosthetist
Primary
131
GA
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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