Individual
EGIDIJUS KAZLAUSKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
55 WHITCHER ST NE STE 160, MARIETTA, GA 30060-1160
(770) 590-4180
(770) 590-4186
Mailing address
55 WHITCHER ST NE STE 160, MARIETTA, GA 30060-1160
(770) 590-4180
(770) 590-4186
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-09457
NC
363A00000X
Physician Assistant
Primary
11008
GA
363AM0700X
Medical Physician Assistant
0010-09457
NC
Other
Enumeration date
09/11/2019
Last updated
08/19/2022
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