Individual
ANGELO ADAM KISIELEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1808 SKYLARK XING, POWDER SPRINGS, GA 30127-2713
(404) 416-9396
Mailing address
1808 SKYLARK XING, POWDER SPRINGS, GA 30127-2713
(404) 416-9396
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN243550
GA
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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