Individual
KEVIN BRUCE MENDELSOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3573 COCHISE DR SE, ATLANTA, GA 30339-4327
(404) 932-6155
Mailing address
3573 COCHISE DR SE, ATLANTA, GA 30339-4327
(404) 932-6155
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
18706
GA
Other
Enumeration date
02/22/2013
Last updated
02/22/2013
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