Individual
HIRA KOHLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
771 OLD NORCROSS RD, SUITE 255, LAWRENCEVILLE, GA 30046-4386
(770) 963-2967
(770) 339-4585
Mailing address
771 OLD NORCROSS RD, SUITE 255, LAWRENCEVILLE, GA 30046-4386
(770) 963-2967
(770) 339-4585
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
060290
GA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
060290
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003103930A
—
GA
05
—
003103930B
—
GA
05
—
003103930C
—
GA
Enumeration date
02/09/2007
Last updated
09/22/2020
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