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Individual

DR. JULIAN T ISAKOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1700 HOSPITAL SOUTH DR, SUITE 409, AUSTELL, GA 30106-6810
(770) 424-6893
(770) 528-9938
Mailing address
55 WHITCHER ST NE, SUITE 350, MARIETTA, GA 30060-1155
(770) 424-6893
(770) 528-9938

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
52750
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
867466222K
GA
05
867466222L
GA
05
867466222M
GA
05
867466222N
GA
05
867466222O
GA
Enumeration date
03/09/2006
Last updated
12/02/2019
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