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Individual

EUNBI TINA KO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 712-2000
Mailing address
711 COSMOPOLITAN DR NE UNIT 115, ATLANTA, GA 30324-3621
(907) 209-7579

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN-NP278821
GA

Other

Enumeration date
06/08/2024
Last updated
11/09/2025
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