Individual
JOSEPH KILZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1500 OGLETHORPE AVE STE 500B, ATHENS, GA 30606
(706) 613-5880
(706) 613-5883
Mailing address
PO BOX 161435, ATLANTA, GA 30321-1435
(706) 613-5880
(706) 613-5883
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
004061
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263727746A
—
GA
Enumeration date
11/14/2005
Last updated
06/26/2018
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