Individual
KRISTIN DORTCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6335 HOSPITAL PKWY STE LL17, DULUTH, GA 30097-1549
(404) 778-8311
Mailing address
3055 LEVEL GROVE WAY, DACULA, GA 30019-1831
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
RN249338
GA
367500000X
Certified Registered Nurse Anesthetist
RN249338
GA
Other
Enumeration date
03/06/2023
Last updated
03/18/2023
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