Individual
KETEVAN KOBAIDZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2208
(404) 686-6730
Mailing address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2208
(770) 908-9768
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
54916
GA
208M00000X
Hospitalist Physician
Primary
054916
GA
Other
Enumeration date
07/08/2006
Last updated
10/06/2015
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