Individual
NANCY S KOUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 508-7881
(404) 294-3272
Mailing address
211 WILLOW LN, DECATUR, GA 30030-1430
(404) 508-7781
(404) 294-3272
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
048532
GA
Other
Enumeration date
06/16/2005
Last updated
07/08/2007
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