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Individual

MR. KURT CARLTON GOPAUL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPSGT,CCSH,RST, RCP

Contact information

Practice address
100 ETOWAH TRCE, FAYETTEVILLE, GA 30214-5902
(678) 860-5431
Mailing address
PO BOX 143327, FAYETTEVILLE, GA 30214-6530
(678) 860-5431

Taxonomy

Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
010451
GA

Other

Enumeration date
07/04/2019
Last updated
09/03/2023
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