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Organization

DR. KISSING OB & GYN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DOMINIK KISSING M.D. (OWNER)
(770) 888-3102
Entity
Organization

Contact information

Practice address
1860 DULUTH HWY, 103, LAWRENCEVILLE, GA 30043-5011
(770) 888-3102
(770) 212-2188
Mailing address
1860 DULUTH HWY, 103, LAWRENCEVILLE, GA 30043-5011
(770) 888-3102
(770) 212-2188

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
64125
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003112332D
GA
Enumeration date
10/16/2013
Last updated
10/16/2013
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