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Individual

JOSEPH A KOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
175 EMERY HWY, MACON, GA 31217-3692
(478) 751-4446
(478) 751-4530
Mailing address
175 EMERY HWY, MACON, GA 31217-3692
(478) 751-4446
(478) 751-4530

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PSY002688
PSYCHOLOGIST
GA
Enumeration date
01/28/2010
Last updated
01/28/2010
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