Individual
LORI KUCZMANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 JOE FRANK HARRIS PARKWAY, CARTERSVILLE, GA 30120-9001
(770) 606-2104
Mailing address
5665 NEW NORTHSIDE DR, NW, SUITE 320, ATLANTA, GA 30328
(770) 874-5400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
052280
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
909706833B
—
GA
Enumeration date
09/22/2006
Last updated
02/26/2021
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