Individual
MR. TAUREK ERIK-SOUSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
403 WOODCHASE WAY, WOODSTOCK, GA 30188-2052
(678) 956-1272
Mailing address
403 WOODCHASE WAY, WOODSTOCK, GA 30188-2052
(678) 956-1272
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3396
GA
Other
Enumeration date
04/17/2011
Last updated
06/06/2022
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