Individual
SOCCOH A KABIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8954 HOSPITAL DR, SUITE C115, DOUGLASVILLE, GA 30134-2272
(770) 577-4825
(770) 577-4827
Mailing address
PO BOX 1138, LITHIA SPRINGS, GA 30122-7138
(770) 577-4825
(770) 577-4827
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
043978
GA
Other
Enumeration date
11/13/2006
Last updated
07/09/2007
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