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Individual

DR. DORIGEN K KASPAREK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6335 HOSPITAL PKWY, SUITE 202, DULUTH, GA 30097-1549
(770) 622-9810
(770) 622-9811
Mailing address
6335 HOSPITAL PKWY, SUITE 202, DULUTH, GA 30097-1549
(770) 622-9810
(770) 622-9811

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
054445
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
360921
BCBS OF GEORGIA PROV #
GA
01
7747558
AETNA HMO PROVIDER #
GA
01
9790810
CIGNA PROVIDER #
GA
05
986553856B
GA
Enumeration date
05/03/2006
Last updated
09/28/2011
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