Individual
DR. KEVIN M DAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MEDICAL DOCTOR
Contact information
Practice address
2675 NORTH DECATUR RD, STE 404, DECATUR, GA 30033
(404) 296-1424
(404) 501-7393
Mailing address
2675 N DECATUR RD STE 501, DECATUR, GA 30033-6134
(404) 296-1424
(404) 501-7393
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
00012125
AL
207V00000X
Obstetrics & Gynecology Physician
Primary
028394
GA
207V00000X
Obstetrics & Gynecology Physician
26626
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118352
BCBS
—
01
—
1386732048
NPI
—
05
—
D00406095A
—
GA
Enumeration date
10/10/2006
Last updated
03/23/2020
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