Organization
AVATAR INDUSTRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN KOLB M.D. (OWNER)
(770) 457-4677
Entity
Organization
Contact information
Practice address
4370 GEORGETOWN SQ, ATLANTA, GA 30338-6205
(770) 457-4677
(678) 514-2104
Mailing address
4370 GEORGETOWN SQ, ATLANTA, GA 30338-6205
(770) 457-4677
(678) 514-2104
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/31/2008
Last updated
12/31/2008
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